Provider Demographics
NPI:1124024989
Name:LANGNESS, KAREN JEWELL (MD)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:JEWELL
Last Name:LANGNESS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:LANGNESS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2701 CHAMBERLAIN LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-1603
Mailing Address - Country:US
Mailing Address - Phone:502-243-9044
Mailing Address - Fax:502-243-8482
Practice Address - Street 1:2701 CHAMBERLAIN LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40245-1603
Practice Address - Country:US
Practice Address - Phone:502-243-9044
Practice Address - Fax:502-243-8482
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY34867207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64032733Medicaid
KYP00213146OtherRAILROAD MEDICARE
KYP00213146OtherRAILROAD MEDICARE
KY0680402Medicare PIN