Healthcare Provider Details

I. General information

NPI: 1235324690
Provider Name (Legal Business Name): MAGDALENE KARON, M.D., P.S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2007
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 N EAGLE CREEK DR STE 205
LEXINGTON KY
40509-2125
US

IV. Provider business mailing address

160 N EAGLE CREEK DR STE 205
LEXINGTON KY
40509-2125
US

V. Phone/Fax

Practice location:
  • Phone: 859-277-3135
  • Fax: 859-276-4690
Mailing address:
  • Phone: 859-277-3135
  • Fax: 859-276-4690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: SHYLA BARBER
Title or Position: OFFICE MANAGER
Credential:
Phone: 859-277-3135