Individual
BENJAMIN KEVIN HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 CASA ST STE 320, SAN LUIS OBISPO, CA 93405-1894
(805) 316-3733
(805) 316-3738
Mailing address
1064 ISABELLA WAY, SAN LUIS OBISPO, CA 93405-6187
(812) 345-5422
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
1295180461
CA
Other
Enumeration date
04/25/2016
Last updated
08/14/2023
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