MEDICARE: KAREN RAE ABBOTT, M.D., LTD.

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
1	174400000X	Specialist	A11149	NV

General Provider Information

NPI Number	:	1538346945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAREN RAE ABBOTT, M.D., LTD.

Provider Business Mailing Address
First Line	:	1101 W MOANA LN
Second Line	:	SUITE 8
City	:	RENO
State	:	NV
Zip	:	89509-4775
Country	:	US
Telephone Number	:	775-322-8883
Fax Number	:	775-827-8813

Provider Business Practice Location Address
First Line	:	1101 W MOANA LN
Second Line	:	SUITE 8
City	:	RENO
State	:	NV
Zip	:	89509-4775
Country	:	US
Telephone Number	:	775-322-8883
Fax Number	:	775-827-8813

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KAREN RAE ABBOTT
Credential	:	M.D.
Telephone Number	:	775-322-8883

Provider Enumeration Date	:	01/28/2008
Last Update Date	:	01/15/2016

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