Individual
MR. JODI HENRIKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
514 CLEVELAND ST, MEDICAL PAVILION, GREAT BEND, KS 67530-3562
(620) 792-2151
(620) 860-0305
Mailing address
514 CLEVELAND ST, MEDICAL PAVILION, GREAT BEND, KS 67530-3562
(620) 792-2151
(620) 860-0305
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04-30709
KS
Other
Enumeration date
02/23/2006
Last updated
05/19/2023
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