Dr KENDRA M HENTKOWSKI is a female medical professional, specializing in Physician Assistant. She graduated in 2015.
SOUTHEAST ORTHOPEDIC SPECIALISTS INC
2627 RIVERSIDE AVE
FL 3
JACKSONVILLE
FL
322044712
Tel: 90463406401014
| Npi | 1205212529 |
| Pac Id | 5991014623 |
| Professional Enrollment Id | I20151021000496 |
| Last Name | HENTKOWSKI |
| First Name | KENDRA |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | SOUTHEAST ORTHOPEDIC SPECIALISTS INC |
| Group Practice Pac Id | 1456246974 |
| Number Of Group Practice Members | 54 |
| Line 1 Street Address | 2627 RIVERSIDE AVE |
| Line 2 Street Address | FL 3 |
| Marker Of Address Line 2 Suppression | |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 322044712 |
| Phone Number | 90463406401014 |
| Hospital Affiliation Ccn 1 | 100001 |
| Hospital Affiliation Lbn 1 | SHANDS JACKSONVILLE |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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