MEDICARE: DR KAREN MD

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	207Q00000X	Family Medicine Physician		CO

General Provider Information

NPI Number	:	1619352465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR KAREN MD

Provider Business Mailing Address
First Line	:	2900 S COLLEGE AVE
Second Line	:	SUITE 3G
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-2562
Country	:	US
Telephone Number	:	970-300-3323
Fax Number	:	970-266-8104

Provider Business Practice Location Address
First Line	:	2900 S COLLEGE AVE
Second Line	:	SUITE 3G
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-2562
Country	:	US
Telephone Number	:	970-300-3323
Fax Number	:	970-266-8104

Authorized Official
Title or Position	:	OWNER
Name	:	KAREN K WEESE BELL
Credential	:	MD
Telephone Number	:	970-300-3323

Provider Enumeration Date	:	07/22/2015
Last Update Date	:	07/28/2015

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