MEDICARE: MAGDALENE KARON, M.D., P.S.C.

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
1	363A00000X	Physician Assistant
2	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1235324690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAGDALENE KARON, M.D., P.S.C.

Provider Business Mailing Address
First Line	:	160 N EAGLE CREEK DR STE 205
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-2125
Country	:	US
Telephone Number	:	859-277-3135
Fax Number	:	859-276-4690

Provider Business Practice Location Address
First Line	:	160 N EAGLE CREEK DR STE 205
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-2125
Country	:	US
Telephone Number	:	859-277-3135
Fax Number	:	859-276-4690

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	SHYLA BARBER
Credential	:
Telephone Number	:	859-277-3135

Provider Enumeration Date	:	09/10/2007
Last Update Date	:	10/01/2024

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