Provider Demographics
NPI:1013018019
Name:SEMONES, KAREN LEA (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LEA
Last Name:SEMONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3556 MARKET PL W STE 109
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466-4339
Mailing Address - Country:US
Mailing Address - Phone:253-215-1122
Mailing Address - Fax:253-215-1123
Practice Address - Street 1:3556 MARKET PL W STE 109
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-4339
Practice Address - Country:US
Practice Address - Phone:253-215-1122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK24101207Q00000X
WAMD00047375207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1054563Medicaid