Doctor Name: | MRS. KAREN ELAINE SPENCER |
NPI Number: | 1013398957 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AGNP-C |
License Number: | 53-76780-092 |
Business Practice Address: | 10977 Granada Ln Suite 105 Leawood, KS - 662111468 |
Business Phone Number: | 8138220050 |
Business Fax Number: | |
Mailing Address: | 9531 Horton St, OVERLAND PARK |
State: | KS |
Postal Code: | 662072825 |
Phone Number: | 9139082708 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2015 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 53-76780-092 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |