Individual
PATRICIA K HENDERSHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2010 W 86TH ST STE 200, INDIANAPOLIS, IN 46260-1930
(317) 872-6551
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01026527A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100062150
—
IN
Enumeration date
02/24/2006
Last updated
11/19/2014
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