Individual
KAITLYNN HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
0 AVENUE D, BUILDING 364, PERRY POINT, MD 21902-1003
(410) 642-2411
Mailing address
1900 MUNSEY DR, FOREST HILL, MD 21050-2746
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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