Doctor Name: | BRENDA MILLER KARNS |
NPI Number: | 1356349534 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | P2552 |
Business Practice Address: | 1596 Highway 33 S New Tazewell, TN - 378257104 |
Business Phone Number: | 4236262965 |
Business Fax Number: | 4236262968 |
Mailing Address: | 6350 W A J Hwy, Department 100 TALBOTT |
State: | TN |
Postal Code: | 378778605 |
Phone Number: | 8003553565 |
Fax Number: | 4237142355 |
NPI Enumeration Date: | 07/12/2005 |
NPI Last Update Date: | 11/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | P2552 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |