Healthcare Provider Details

I. General information

NPI: 1831008523
Provider Name (Legal Business Name): KARA BURTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 GREENTREE RD STE F
LEBANON OH
45036-9604
US

IV. Provider business mailing address

130 BLOSSOM VIEW DR
LOVELAND OH
45140-9091
US

V. Phone/Fax

Practice location:
  • Phone: 513-760-0867
  • Fax: 888-253-8136
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2512415
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: