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General NPI Number Information
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NPI Number | 1629048293
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Entity Type | Individual
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Provider Name | KAREN K MAVES MD
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Gender | Female
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 02/24/2010
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Provider Practice Location Address
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Address Line | 2112 E 38TH STREET
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City | DAVENPORT
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State | IA
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Zip | 52807
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Country | US
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Telephone | 563-359-0324
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Fax | 563-359-9409
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Provider Business Mailing Address
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Address Line | 2112 E 38TH STREET
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City | DAVENPORT
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State | IA
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Zip | 52807
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Country | US
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Telephone | 563-359-0324
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Fax | 563-359-9409
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 036113636
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License Number State | IL
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