| Doctor Name: | KAREN REECE PUCKETT |
| NPI Number: | 1164695227 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, NP-C |
| License Number: | 0024168075 |
| Business Practice Address: | 1550 N Bridge St Elkin, NC - 286212202 |
| Business Phone Number: | 3362582031 |
| Business Fax Number: | 3362582037 |
| Mailing Address: | 114w Medical Park Dr, LEXINGTON |
| State: | NC |
| Postal Code: | 272926773 |
| Phone Number: | 3362498760 |
| Fax Number: | 3362492710 |
| NPI Enumeration Date: | 04/10/2008 |
| NPI Last Update Date: | 11/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024168075 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |