Individual
CASSAIDY HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8727
(606) 765-0932
Mailing address
65 OLD BARTON SCHOOL RD, CORBIN, KY 40701-9502
(606) 765-0932
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3009154
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3009154
KY
Other
Enumeration date
01/12/2015
Last updated
04/17/2024
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