Doctor Name: | DR. KRISTINA N KARANEC |
NPI Number: | 1053503748 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | |
Business Practice Address: | 220 Cherry St Se Grand Rapids, MI - 49503 |
Business Phone Number: | 6166855050 |
Business Fax Number: | 6166858962 |
Mailing Address: | 245 State St Se, Ste 228 GRAND RAPIDS |
State: | MI |
Postal Code: | 49503 |
Phone Number: | 6166851808 |
Fax Number: | 6166851850 |
NPI Enumeration Date: | 08/15/2007 |
NPI Last Update Date: | 10/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |