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NPI Code Detail

MEDICARE: KAREN BESS MFTA

MEDICARE: KAREN BESS MFTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist2012-013KY

General Provider Information

NPI Number : 1356741870
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN BESS MFTA
Provider Business Mailing Address
First Line : 2239 PAYNE ST
Second Line :
City : LOUISVILLE
State : KY
Zip : 40206-2870
Country : US
Telephone Number : 502-648-5518
Fax Number :
Provider Business Practice Location Address
First Line : 2301 GOLDSMITH LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-1018
Country : US
Telephone Number : 502-458-1171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2014
Last Update Date : 09/03/2014

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