Individual
JORDAN FAITH HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 E CHESTNUT ST UNIT 370, LOUISVILLE, KY 40202-5703
(502) 588-4500
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-4500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021008352
MO
207R00000X
Internal Medicine Physician
Primary
TP152
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2018
Last updated
05/07/2024
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