Kelly Henrickson MD

NPI 1033161708 - Pediatrics - 2080P0208X

NPI Details
NPI 1033161708
Gender Male
Enumeration Date 05/17/2006
Last Updated 02/26/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
9000 W WISCONSIN AVE
PEDIATRIC INFECTIOUS DISEASE
MILWAUKEE WI, 53226-4874, US
Phone (414) 337-7070
Fax (414) 337-7093
Business Location
9000 W WISCONSIN AVE
PEDIATRIC INFECTIOUS DISEASE
MILWAUKEE WI, 53226-4874, US
Phone (414) 337-7070
Fax (414) 337-7093
Toxanomy
Taxonomy Code 2080P0208X
License State Wisconsin
License Number 31214
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According to our database, Dr. Kelly Henrickson MD NPI is 1033161708, taxonomy code is 2080P0208X and license number is 31214, license state is located at Wisconsin. Kelly Henrickson MD physically located at 9000 W Wisconsin Ave, Milwaukee WI, 53226-4874. NPI Number Kelly Henrickson MD has the Individual type.

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1033161708 NPI number is provided on an as is basis without warranty of any kind. 1033161708 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Henrickson MD are for informational purposes only.