Healthcare Provider Details

I. General information

NPI: 1205809522
Provider Name (Legal Business Name): KAREN L HARSH DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 05/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 N BELLWOOD RD
MORRISTOWN TN
37814-1120
US

IV. Provider business mailing address

305 N BELLWOOD RD
MORRISTOWN TN
37814-1120
US

V. Phone/Fax

Practice location:
  • Phone: 423-587-8300
  • Fax: 423-587-6500
Mailing address:
  • Phone: 423-587-8300
  • Fax: 423-587-6500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberDO 001012
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0001012
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: