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Kevin Hendrickson
NPI 1689074957 · on the registry since 2014 · sole proprietor
Practice
- Address
- 11050 Mt Belvedere Blvd
Fort Drum, NY 13602 - Phone
- (908) 255-2087
- Organisation at this address
- Bobbi Petranchuk
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 104
Registry record
- Primary taxonomy
- Emergency Medicine Physician
207P00000X
- Also registered as
- Athletic Trainer
Emergency Medicine Physician
Student in an Organized Health Care Education/Training Program - Licence states on file
- VA, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York