Provider Demographics
NPI:1093905515
Name:BABETSKI, KAREN (RTR, RPA, RA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:BABETSKI
Suffix:
Gender:F
Credentials:RTR, RPA, RA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 SMITHBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342
Mailing Address - Country:US
Mailing Address - Phone:610-648-1255
Mailing Address - Fax:
Practice Address - Street 1:77 SMITHBRIDGE RD
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342
Practice Address - Country:US
Practice Address - Phone:610-648-1255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2471C1101X2471C1101X
PA2471C1106X2471C1106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C1101XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistCardiovascular-Interventional Technology
No2471C1106XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistCardiac-Interventional Technology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA219681OtherARRT
PA07 PA 1318OtherCBRPA, RAP/RA