MEDICARE: CARA L KARLS

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	363AM0700X	Medical Physician Assistant	OA002869	PA

General Provider Information

NPI Number	:	1447514161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA L KARLS

Provider Business Mailing Address
First Line	:	1220 LINCOLN WAY
Second Line	:	SUITE 201
City	:	WHITE OAK
State	:	PA
Zip	:	15131-1642
Country	:	US
Telephone Number	:	412-673-2200
Fax Number	:	412-673-3205

Provider Business Practice Location Address
First Line	:	1220 LINCOLN WAY
Second Line	:	SUITE 201
City	:	WHITE OAK
State	:	PA
Zip	:	15131-1642
Country	:	US
Telephone Number	:	412-673-2200
Fax Number	:	412-673-3205

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2012
Last Update Date	:	11/05/2015

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1578839718 — CAITLIN KOERBER
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Directions to “ CARA L KARLS ” Practice Location

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