1841499852 NPI number — MRS. KAREN S. WITTY D.I./IECE/MAE

Table of content: MRS. KAREN S. WITTY D.I./IECE/MAE (NPI 1841499852)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841499852 NPI number — MRS. KAREN S. WITTY D.I./IECE/MAE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WITTY
Provider First Name:
KAREN
Provider Middle Name:
S.
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
D.I./IECE/MAE
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:
1841499852
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/03/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
235 CORAL HILL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GLASGOW
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
42141-9080
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
270-404-5981
Provider Business Mailing Address Fax Number:
270-651-2966

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
235 CORAL HILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLASGOW
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42141-9080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-404-5981
Provider Business Practice Location Address Fax Number:
270-651-2966
Provider Enumeration Date:
07/11/2007

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: 222Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com