Individual provider · Type 1 NPI

Kevin Hendrickson

Emergency Medicine Physician · Fort Drum, NY

NPI number 1689074957 Active

Practice location

11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603

Call (908) 255-2087 Map

Mailing address

86 Knickerbocker Dr
Belle Mead, NJ 08502-4545

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X0101282168 (VA)
Athletic Trainer 2255A2300XNone listed
Emergency Medicine Physician 207P00000X339422 (NY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1689074957

Kevin Hendrickson's National Provider Identifier is 1689074957, issued on Aug 24, 2014. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Fort Drum, NY. The record was last updated on Jan 26, 2026.