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NPI Code Detail

MEDICARE: MS. KAREN K MINOR FNP

MEDICARE: MS. KAREN K MINOR FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner136757MO

General Provider Information

NPI Number : 1003888439
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN K MINOR FNP
Provider Business Mailing Address
First Line : 300 BARR HARBOR DR
Second Line : SUITE 550
City : WEST CONSHOHOCKEN
State : PA
Zip : 19428-2998
Country : US
Telephone Number : 866-825-3227
Fax Number :
Provider Business Practice Location Address
First Line : 330 NE BARRY RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-2724
Country : US
Telephone Number : 866-825-3227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2006
Last Update Date : 07/08/2007

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