Doctor Name: | KAREN ELIZABETH HAIRE |
NPI Number: | 1679823421 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MT |
License Number: | 70212 |
Business Practice Address: | 107 H Street East Dphhs-ihs Poplar, MT - 592550067 |
Business Phone Number: | 4067683491 |
Business Fax Number: | |
Mailing Address: | 107 H Street East, Dphhs-ihs POPLAR |
State: | MT |
Postal Code: | 592550067 |
Phone Number: | 4067683491 |
Fax Number: | |
NPI Enumeration Date: | 09/19/2012 |
NPI Last Update Date: | 09/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246RM2200X |
License Number: | 70212 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Pathology |
Taxonomy Specialization: | Medical Laboratory |
Taxonomy Definition: |