Provider Demographics
NPI:1437184785
Name:HEDRICK, KATHYLEEN VOLPE (MS ARNP)
Entity Type:Individual
Prefix:
First Name:KATHYLEEN
Middle Name:VOLPE
Last Name:HEDRICK
Suffix:
Gender:F
Credentials:MS ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4651 VAN DYKE RD
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-4880
Mailing Address - Country:US
Mailing Address - Phone:813-321-1786
Mailing Address - Fax:813-321-1787
Practice Address - Street 1:500 VONDERBURG DRIVE
Practice Address - Street 2:STE 115W
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5969
Practice Address - Country:US
Practice Address - Phone:813-685-0306
Practice Address - Fax:813-651-1026
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNA1298102364SP0808X
FLARNP1298102207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health