HETRICKKOENIGHEALTH LLC NPI 1154963999

NPI Information

  • NPI: 1154963999
  • Provider Name: HETRICKKOENIGHEALTH, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 36D2170419
  • Address: 885 HIGH ST STE 107
    WORTHINGTON, OH
    ZIP 43085
  • Phone: (614) 368-7070

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NPI Details

HETRICKKOENIGHEALTH, LLC is a family medicine in Worthington, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HETRICKKOENIGHEALTH, LLC NPI is 1154963999. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

885 HIGH ST STE 107
WORTHINGTON, OH
ZIP 43085-158
Phone: (614) 368-7070
Fax: (614) 957-8610

The provider's authorized official is Jennifer E Hetrick .
The authorized official title is Physician/owner and has the following contact phone number (646) 831-8044.

The CLIA number assigned to this NPI record is 36D2170419 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/14/2019 and was last updated on 10/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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