Individual
HOLLY M HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6820 PARKDALE PL, SUITE 100, INDIANAPOLIS, IN 46254-6601
(317) 297-7773
(317) 297-3619
Mailing address
6820 PARKDALE PL, SUITE 100, INDIANAPOLIS, IN 46254-6601
(317) 297-7773
(317) 297-3619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01039366A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000218625
ANTHEM
IN
05
—
100380500
—
IN
Enumeration date
05/02/2006
Last updated
05/23/2025
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