Provider Demographics
NPI:1164054805
Name:KARSTEN, KATHRYN LAINE (RN)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LAINE
Last Name:KARSTEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7445 CLEBURNE HWY
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76087-5109
Mailing Address - Country:US
Mailing Address - Phone:817-771-8577
Mailing Address - Fax:
Practice Address - Street 1:7445 CLEBURNE HWY
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76087-5109
Practice Address - Country:US
Practice Address - Phone:817-771-8577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-11
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX984621163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse