Healthcare Provider Details

I. General information

NPI: 1225834351
Provider Name (Legal Business Name): KAREN CIMA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2025
Last Update Date: 02/20/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 S LAUREL RD STE 302
LONDON KY
40744-8304
US

IV. Provider business mailing address

727 INCLINE RD
CORBIN KY
40701-9566
US

V. Phone/Fax

Practice location:
  • Phone: 606-667-2636
  • Fax:
Mailing address:
  • Phone: 606-524-0398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number132671
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: