Healthcare Provider Details

I. General information

NPI: 1477927507
Provider Name (Legal Business Name): KARENSA JEAN HEFLIN RDH, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2015
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 EMMETT ST W
BATTLE CREEK MI
49037-2963
US

IV. Provider business mailing address

181 EMMETT ST W
BATTLE CREEK MI
49037-2963
US

V. Phone/Fax

Practice location:
  • Phone: 269-966-2600
  • Fax:
Mailing address:
  • Phone: 269-966-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number2902014542
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: