MEDICARE: KATY LOU KARSTEN

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	363LF0000X	Family Nurse Practitioner	4704285053	MI

General Provider Information

NPI Number	:	1720910995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATY LOU KARSTEN

Provider Business Mailing Address
First Line	:	418 N MAIN ST STE 200
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-1813
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	418 N MAIN ST STE 200
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-1813
Country	:	US
Telephone Number	:	999-999-9999
Fax Number	:

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

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ KATY LOU KARSTEN ” Practice Location

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