Organization
HETRICKKOENIGHEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER E HETRICK MD (PHYSICIAN/OWNER)
(646) 831-8044
Entity
Organization
Contact information
Practice address
885 HIGH ST STE 107, WORTHINGTON, OH 43085-4158
(614) 368-7070
(614) 957-8610
Mailing address
6695 THORNE ST, WORTHINGTON, OH 43085-2431
(646) 831-8044
(614) 957-8610
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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