Doctor Name: | KAREN MCDANIEL |
NPI Number: | 1144278631 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 4961P |
Business Practice Address: | 3004 Cumberland Ave Medical Arts Building Middlesboro, KY - 409652343 |
Business Phone Number: | 6062484162 |
Business Fax Number: | 6062423429 |
Mailing Address: | 3004 Cumberland Ave, Medical Arts Building MIDDLESBORO |
State: | KY |
Postal Code: | 409652343 |
Phone Number: | 6062484162 |
Fax Number: | 6062423429 |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 08/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4961P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |