Healthcare Provider Details

I. General information

NPI: 1144278631
Provider Name (Legal Business Name): KAREN MCDANIEL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 08/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3004 CUMBERLAND AVE MEDICAL ARTS BUILDING
MIDDLESBORO KY
40965-2343
US

IV. Provider business mailing address

3004 CUMBERLAND AVE MEDICAL ARTS BUILDING
MIDDLESBORO KY
40965-2343
US

V. Phone/Fax

Practice location:
  • Phone: 606-248-4162
  • Fax: 606-242-3429
Mailing address:
  • Phone: 606-248-4162
  • Fax: 606-242-3429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4961P
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: