Healthcare Provider Details

I. General information

NPI: 1376600171
Provider Name (Legal Business Name): KAREN KATHRYN DAMGAARD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5902 E PIMA ST
TUCSON AZ
85712-4322
US

IV. Provider business mailing address

5902 E PIMA ST
TUCSON AZ
85712-4322
US

V. Phone/Fax

Practice location:
  • Phone: 520-886-5315
  • Fax: 877-209-7377
Mailing address:
  • Phone: 520-886-5315
  • Fax: 877-209-7377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number3582
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: