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NPI Code Detail

MEDICARE: KAREN A DELACEY

MEDICARE: KAREN A DELACEY
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
1363A00000XPhysician Assistant9380MN

General Provider Information

NPI Number : 1942249156
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN A DELACEY
Provider Business Mailing Address
First Line : 846 HIGH POINT DR NE
Second Line :
City : BYRON
State : MN
Zip : 55920-4407
Country : US
Telephone Number : 507-775-6187
Fax Number :
Provider Business Practice Location Address
First Line : 846 HIGH POINT DR NE
Second Line :
City : BYRON
State : MN
Zip : 55920-4407
Country : US
Telephone Number : 507-775-6187
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 07/08/2007

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Directions to “ KAREN A DELACEY ” Practice Location

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