Individual
KENNETH T HENNRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3634
(718) 780-3673
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3634
(718) 780-3673
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
273498-1
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
57250-20
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME146671
FL
Other
Enumeration date
04/07/2010
Last updated
12/18/2023
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