Organization
PODIATRIC HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY A HENRICKSEN DPM (PHYSCIAN)
(704) 841-4000
Entity
Organization
Contact information
Practice address
512 E KINGSTON AVE, CHARLOTTE, NC 28203-5118
(704) 841-4000
(704) 841-4338
Mailing address
PO BOX 2793, MATTHEWS, NC 28106-2793
(704) 841-4000
(704) 841-4338
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
377
NC
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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