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NPI Code Detail

MEDICARE: CIELETTE M KARN MD

MEDICARE: CIELETTE M KARN MD
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician014041ME
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician8012AWY

General Provider Information

NPI Number : 1376537845
Entity Type Code : Individual
Provider Name (Legal Business Name) : CIELETTE M KARN MD
Provider Business Mailing Address
First Line : PO BOX 1359
Second Line :
City : ROCK SPRINGS
State : WY
Zip : 82902-1359
Country : US
Telephone Number : 307-362-3711
Fax Number :
Provider Business Practice Location Address
First Line : 1200 COLLEGE DR
Second Line :
City : ROCK SPRINGS
State : WY
Zip : 82901-5868
Country : US
Telephone Number : 307-362-3711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 01/22/2020

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