Individual
DR. KEVIN D HENRICHSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9501 ROOSEVELT BLVD FL 4, PHILADELPHIA, PA 19114-1019
(800) 321-9999
(267) 479-1321
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(267) 606-4478
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01083578A
IN
207X00000X
Orthopaedic Surgery Physician
25MA11200400
NJ
207X00000X
Orthopaedic Surgery Physician
Primary
MD474816
PA
Other
Enumeration date
05/19/2015
Last updated
02/22/2022
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