Healthcare Provider Details

I. General information

NPI: 1346879467
Provider Name (Legal Business Name): RACHEL KARLEN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 07/21/2023
Certification Date: 07/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 LOS ALTOS PKWY
SPARKS NV
89436-6692
US

IV. Provider business mailing address

1155 MILL ST # MS 14
RENO NV
89502-1576
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-5437
  • Fax: 775-982-3900
Mailing address:
  • Phone: 775-982-5262
  • Fax: 775-982-5496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDO3415
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: