# KAITLYN A HENRICKS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811882095
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WE0003X | Emergency Registered Nurse | 28263557A | IN | — |
| 363L00000X | Nurse Practitioner | 71016768A | IN | Yes |
| 363L00000X | Nurse Practitioner | APRN.CNP.0041845 | OH | — |

## Other

- **Enumeration date:** 06/10/2025
- **Last updated:** 06/01/2026