Provider Demographics
NPI:1043262827
Name:SNELL-GARUS, KAREN ANGELA (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANGELA
Last Name:SNELL-GARUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:ANGELA
Other - Last Name:SNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4001 DUTCHMANS LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4714
Mailing Address - Country:US
Mailing Address - Phone:502-893-1000
Mailing Address - Fax:
Practice Address - Street 1:4001 DUTCHMANS LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4714
Practice Address - Country:US
Practice Address - Phone:502-893-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217525207V00000X
KY54796207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY526063005OtherBC/BS PVT PRACTICE
NY00025086605OtherUNIVERA
NY0711025OtherIHA
NY00025086604OtherUNIVERA PVT PRACTICE
NY070529000033OtherFIDELIS PVT PRACTICE
NY526063006OtherBLUE CROSS/ BLUE SHIELD
NY70108000002OtherFIDELIS
NY526063006OtherBLUE CROSS/ BLUE SHIELD
NYRB3687Medicare PIN