Healthcare Provider Details
I. General information
NPI: 1952381311
Provider Name (Legal Business Name): KAREN L ORMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/20/2006
Last Update Date: 10/27/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
231 E CHESTNUT ST
LOUISVILLE KY
40202-1821
US
IV. Provider business mailing address
PO BOX 776879
CHICAGO IL
60677-6879
US
V. Phone/Fax
- Phone: 502-629-6000
- Fax: 502-629-5865
- Phone: 502-629-6000
- Fax: 502-629-5865
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP3000X |
| Taxonomy | Pediatric Anesthesiology Physician |
| License Number | 36122 |
| License Number State | KY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 36122 |
| License Number State | KY |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0203X |
| Taxonomy | Pediatric Critical Care Medicine Physician |
| License Number | 36122 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: