Hendricks, Kim

Hendricks, Kim is an individual health care provider with primary practice located at 311 E Spruce St , Garden City KS 67846-5679. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Hendricks, Kim can be contacted via phone (620) 275-3700.

Contact Information

Primary practice address
311 E Spruce St Garden City KS 67846-5679
Phone: (620) 275-3700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 64 Kansas

Profile Details

NPI number 1831141589
LBN Legal business name Hendricks, Kim
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Apr 25th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831141589 NPPES
Kansas MEDICAID 100227970C

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