Individual
KEVIN L HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1131 S ORANGE AVE, ORLANDO, FL 32806-1226
(941) 444-0011
(603) 952-3900
Mailing address
PO BOX 3868, EVANSVILLE, IN 47737-3868
(812) 426-9355
(812) 858-4539
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28157005A
IN
363L00000X
Nurse Practitioner
71005723A
IN
363L00000X
Nurse Practitioner
Primary
APRN11037740
FL
Other
Enumeration date
05/18/2015
Last updated
06/27/2025
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