Individual
DR. RICHARD JOSEPH HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 983-6335
(816) 983-6885
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 983-6335
(816) 983-6885
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
010026213
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306893300
—
MO
05
—
200665680B
—
KS
05
—
200820250
—
IN
05
—
2659083
—
OH
Enumeration date
05/27/2006
Last updated
05/02/2012
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