Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine Hendrickson, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1922458975

Katherine Hendrickson, DO is an Obstetrics/Gynecology in Beavercreek, Ohio. Qualified in 2016, 10 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama, Michigan and Ohio.

Years since qualifying
10
Licensed in
AL, MI, OH
In the registry since
2016
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3535 Pentagon Blvd Ste 220
Beavercreek, OH 45431-1705
Phone: (937) 429-7350
Fax: (937) 431-2623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5450 Fort St, Trenton, MI 48183-4601 — (734) 671-3800

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 34.014849 (OH)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 2325 (AL)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 5101022730 (MI)

Record details

NPI number1922458975
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 20, 2016
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024
Mailing address1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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