Doctor Name: | KATHI JEAN KARP |
NPI Number: | 1265855068 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 005646 |
Business Practice Address: | 925 Sullivan Ave South Windsor, CT - 060742025 |
Business Phone Number: | 8606441521 |
Business Fax Number: | 8606443335 |
Mailing Address: | 925 Sullivan Ave, Suite 1 SOUTH WINDSOR |
State: | CT |
Postal Code: | 060742025 |
Phone Number: | 8606441521 |
Fax Number: | 8606443335 |
NPI Enumeration Date: | 01/29/2014 |
NPI Last Update Date: | 12/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 005646 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |