Provider Demographics
NPI:1033224571
Name:DOLES, KAREN EATON (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:EATON
Last Name:DOLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:LYNN
Other - Last Name:EATON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:470 TAYLOR RD STE 210
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-3532
Mailing Address - Country:US
Mailing Address - Phone:334-293-5033
Mailing Address - Fax:
Practice Address - Street 1:470 TAYLOR RD STE 210
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-3532
Practice Address - Country:US
Practice Address - Phone:334-293-5033
Practice Address - Fax:334-293-5024
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240405208000000X
AL28195208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics