Provider Demographics
NPI:1114958600
Name:KARR, RICHARD K (MD)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:K
Last Name:KARR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:13133N PORT WASHINGTON ROAD
Mailing Address - Street 2:#216
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53097
Mailing Address - Country:US
Mailing Address - Phone:262-243-9447
Mailing Address - Fax:262-243-9462
Practice Address - Street 1:13133N PORT WASHINGTON ROAD
Practice Address - Street 2:#216
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53097
Practice Address - Country:US
Practice Address - Phone:262-243-9447
Practice Address - Fax:262-243-9462
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI21742207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30522300Medicaid
B54009Medicare UPIN