Provider Demographics
NPI:1033410816
Name:LINICK, KARA LOUISE (BSN, RN)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:LOUISE
Last Name:LINICK
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 JOHNS GLEN DR
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:FL
Mailing Address - Zip Code:32259-3200
Mailing Address - Country:US
Mailing Address - Phone:904-608-7162
Mailing Address - Fax:904-230-9992
Practice Address - Street 1:221 JOHNS GLEN DR
Practice Address - Street 2:
Practice Address - City:SAINT JOHNS
Practice Address - State:FL
Practice Address - Zip Code:32259-3200
Practice Address - Country:US
Practice Address - Phone:904-608-7162
Practice Address - Fax:904-230-9992
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27-3287422343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)