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NPI Code Detail

MEDICARE: KARI IVEY

MEDICARE:   KARI  IVEY
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
1101YP2500XProfessional Counselor78344TX

General Provider Information

NPI Number : 1497594576
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARI IVEY
Provider Business Mailing Address
First Line : PO BOX 563
Second Line :
City : BLOOMING GROVE
State : TX
Zip : 76626-0563
Country : US
Telephone Number : 903-467-9945
Fax Number :
Provider Business Practice Location Address
First Line : 1019 S KERR ST
Second Line :
City : BLOOMING GROVE
State : TX
Zip : 76626-3212
Country : US
Telephone Number : 903-467-9945
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2024
Last Update Date : 05/20/2024

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Directions to “ KARI IVEY ” Practice Location

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