Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN HENDRICKSON
Active Sole ProprietorKEVIN HENDRICKSON is a Emergency Medicine healthcare provider located in FORT DRUM, New York. NPI 1689074957 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · FORT DRUM, NY
Registration Details
- NPI Number
- 1689074957
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2014 (11.964215739309 yrs)
- Last Updated
- Jan 26, 2026
- Licenses
-
0101282168 (VA)339422 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11050 MT BELVEDERE BLVDFORT DRUM, NY, 136022603Browse NY providers · Browse ZIP 13602
- Phone
- 9082552087
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Student (Health Education/Training)
Other Emergency Medicine Providers in FORT DRUM, NY
| Name | Credential | NPI |
|---|---|---|
| DR. ANDREW JEROME KOSMOWSKI | MD | 1629051727 |
| DR. JIN PYUN | M.D. | 1073599866 |
| DR. DAVID BRUCE CRANDALL JR. | D.O. | 1811906522 |
| SPENCER KELLEY HEGGERS | MD | 1467958140 |
| DR. SOHAM PARIKH | MD | 1285126425 |
| DR. LUCAS ANTHONY MILLER | MD | 1932662178 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.