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

Kathy A Henricksen, DPM

Individual provider Podiatrist · NPI 1770795650

Kathy A Henricksen, DPM is a Podiatrist in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

512 E Kingston Ave
Charlotte, NC 28203-5118
Phone: (704) 841-4000
Fax: (704) 841-4338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 377 (NC)

Record details

NPI number1770795650
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedMay 4, 2007
Last updated in NPPESJuly 8, 2007

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