1881760569 NPI number — KAREN B SAYLOR M.D.

Table of content: KAREN B SAYLOR M.D. (NPI 1881760569)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881760569 NPI number — KAREN B SAYLOR M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAYLOR
Provider First Name:
KAREN
Provider Middle Name:
B
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881760569
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
140 NEWCOMB AVE
Provider Second Line Business Mailing Address:
SUITE 2 C
Provider Business Mailing Address City Name:
MOUNT VERNON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40456-2728
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-256-4148
Provider Business Mailing Address Fax Number:
606-256-0349

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
140 NEWCOMB AVE
Provider Second Line Business Practice Location Address:
SUITE 2 C
Provider Business Practice Location Address City Name:
MOUNT VERNON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40456-2728
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-256-5176
Provider Business Practice Location Address Fax Number:
606-256-0349
Provider Enumeration Date:
11/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  134107 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 208000000X , with the licence number: 045553 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 611064744A . This is a "HUMANA" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 64253354 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0400039 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000001525 . This is a "CHA" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 029299600 . This is a "BLCAK LUNG" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 110072243 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 25335 . This is a "MEDICAL LICENSE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 0000000484471 . This is a "ANTHEM BC BS" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 611181300 . This is a "DEPT OF LABOR" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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