Healthcare Provider Details

I. General information

NPI: 1225228240
Provider Name (Legal Business Name): KAREN M HENRICHSEN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2007
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 BAYLOR DR STE 155
BLUFFTON SC
29910-8965
US

IV. Provider business mailing address

108 HIGHWAY 28 BYP
ANDERSON SC
29624-3742
US

V. Phone/Fax

Practice location:
  • Phone: 854-278-2760
  • Fax:
Mailing address:
  • Phone: 864-772-8173
  • Fax: 833-996-1161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS10165
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number40745
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: