Hendricks, Kelly
Hendricks, Kelly is an individual health care provider with primary practice located at 1439 S Saint Francis Dr , Santa Fe NM 87505. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Hendricks, Kelly can be contacted via phone (505) 473-5437.Contact Information
Primary practice address
1439 S Saint Francis Dr
Santa Fe NM 87505
Phone: (505) 473-5437
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | D10994 | Oregon |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DD4219 | New Mexico |
Profile Details
| NPI number | 1457773384 |
|---|---|
| LBN Legal business name | Hendricks, Kelly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2014 |
| Last updated | May 2nd, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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