Kristine J Hendrickson
Pediatric Critical Care Doctor
2530 Chicago Ave Suite 400
Minneapolis
, Minnesota 55404-4289
Kristine J Hendrickson
Pediatric Critical Care Doctor
2530 Chicago Ave Suite 400
Minneapolis
, Minnesota 55404-4289
(612) 813-3349
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Kristine J Hendrickson
- 2530 Chicago Ave Suite 400
- Minneapolis, MN
- Zip : 55404-4289
- Fax : (612) 813-3349
- Phone : (612) 813-3300
Second Address
- Kristine J Hendrickson
- 2530 Chicago Ave Suite 400
- Minneapolis, MN
- Zip : 55404-4289
- Fax : (612) 813-3349
- Phone : (612) 813-3300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | 44188 | MN |
National Provider Identifier
| NPI | 1205837283 |
|---|---|
| Provider Name | Kristine J Hendrickson |
| First Address | Minneapolis, MN 55404-4289 |
| Second Address | Minneapolis, MN 55404-4289 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2005 |
| Last Update Date | 19/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H54718 | (02) | MN |
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.