Individual
KATHERINE HENRIQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11492 OLD US HIGHWAY 52, WINSTON SALEM, NC 27107-9497
(336) 784-0505
Mailing address
1802 DANTZLER DR, HIGH POINT, NC 27265-9690
(336) 870-2884
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
0010-15874
NC
Other
Enumeration date
01/06/2018
Last updated
10/03/2025
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