Provider Demographics
NPI:1093032914
Name:CALABRIA, KAREN ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ANN
Last Name:CALABRIA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CARRSWOLD DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63105-2914
Mailing Address - Country:US
Mailing Address - Phone:314-973-9350
Mailing Address - Fax:
Practice Address - Street 1:3 CARRSWOLD DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63105-2914
Practice Address - Country:US
Practice Address - Phone:314-973-9350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-02
Last Update Date:2010-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR2E59207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine