Healthcare Provider Details

I. General information

NPI: 1396830220
Provider Name (Legal Business Name): JOHN T KARPEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 10/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 CAPITAL MALL DR SW
OLYMPIA WA
98502
US

IV. Provider business mailing address

7438 COOPER POINT ROAD NW
OLYMPIA WA
98502
US

V. Phone/Fax

Practice location:
  • Phone: 360-754-5858
  • Fax: 360-456-3827
Mailing address:
  • Phone: 360-866-3714
  • Fax: 360-866-3714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD00014175
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: