| Doctor Name: | KATHI MARGARET HENRICKSON |
| NPI Number: | 1124050059 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | R-084037-0 |
| Business Practice Address: | 2501 Keenan Dr Essentia Health International Falls Clinic International Falls, MN - 566492181 |
| Business Phone Number: | 2182834481 |
| Business Fax Number: | |
| Mailing Address: | 2501 Keenan Dr, Essentia Health International Falls Clinic INTERNATIONAL FALLS |
| State: | MN |
| Postal Code: | 566492181 |
| Phone Number: | 2182834481 |
| Fax Number: | |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 05/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R-084037-0 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |