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NPI Code Detail

MEDICARE: KARL D HENDRICKS M.D.

MEDICARE:   KARL D HENDRICKS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician18861KS

General Provider Information

NPI Number : 1174525208
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARL D HENDRICKS M.D.
Provider Business Mailing Address
First Line : 8919 PARALLEL PKWY
Second Line : STE 226
City : KANSAS CITY
State : KS
Zip : 66112-1655
Country : US
Telephone Number : 913-299-8800
Fax Number : 913-299-6581
Provider Business Practice Location Address
First Line : 8919 PARALLEL PKWY
Second Line : STE 226
City : KANSAS CITY
State : KS
Zip : 66112-1655
Country : US
Telephone Number : 913-299-8800
Fax Number : 913-299-6581
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 07/08/2007

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