Kelly J Hendricks
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
5701 W 119th St Ste 410
Overland Park
, Kansas 66209-3721
Kelly J Hendricks
Orthopaedic Surgeon Adult Reconstructive Orthopaedic Surgeon
5701 W 119th St Ste 410
Overland Park
, Kansas 66209-3721
(913) 469-4095
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About
Features
Specialties
- Orthopaedic Surgeon
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Kelly J Hendricks
- 5701 W 119th St Ste 410
- Overland Park, KS
- Zip : 66209-3721
- Fax : (913) 469-4095
- Phone : (913) 345-6901
Second Address
- Kelly J Hendricks
- 5701 W 119th St Ste 410
- Overland Park, KS
- Zip : 66209-3721
- Fax : (913) 469-4095
- Phone : (913) 345-6901
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 04-30708 | KS |
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 04-30708 | KS |
National Provider Identifier
| NPI | 1043329147 |
|---|---|
| Provider Name | Kelly J Hendricks |
| First Address | Overland Park, KS 66209-3721 |
| Second Address | Overland Park, KS 66209-3721 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 27/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200265840A | (05) | KS |
| 209281302 | (05) | MO |
| 34266011 | BCBS (01) | MO |
| 580580 | FIRSTGUARD (01) | KS |
| P00154501 | RAILROAD MEDICARE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.