Organization
KATHY HENDRICKSON, O.D., P.C.
Active
Other names
Family Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY MARIE HENDRICKSON O.D. (OPTOMETRIST)
(701) 652-2020
Entity
Organization
Contact information
Practice address
110 9TH AVE S, CARRINGTON, ND 58421-2020
(701) 652-2020
Mailing address
110 9TH AVE S, P.O. BOX 220, CARRINGTON, ND 58421-2020
(701) 652-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
578
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60646
—
ND
Enumeration date
09/25/2007
Last updated
08/18/2008
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