Individual
KATHERINE HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3535 PENTAGON BLVD STE 220, BEAVERCREEK, OH 45431-1705
(937) 429-7350
(937) 431-2623
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2325
AL
207V00000X
Obstetrics & Gynecology Physician
Primary
34.014849
OH
207V00000X
Obstetrics & Gynecology Physician
5101022730
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0433558
—
OH
05
—
257621
—
AL
Enumeration date
06/20/2016
Last updated
11/18/2024
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