Individual
MR. SCOTT KEEN HENDRIKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2108 MEADE ST, DENVER, CO 80211-5058
(720) 215-0750
Mailing address
2108 MEADE ST, DENVER, CO 80211-5058
(720) 215-0750
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
162666
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162666
RN
CO
Enumeration date
09/25/2013
Last updated
09/25/2013
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