Provider Demographics
NPI:1164542924
Name:KARI, CAROL COPELAND (LAC)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:COPELAND
Last Name:KARI
Suffix:
Gender:F
Credentials:LAC
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Other - Credentials:
Mailing Address - Street 1:5415 W CEDAR LANE
Mailing Address - Street 2:SUITE 204B GEORGETOWN DOCTORS PARK
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-1524
Mailing Address - Country:US
Mailing Address - Phone:301-897-0806
Mailing Address - Fax:301-897-9567
Practice Address - Street 1:5415 W CEDAR LANE
Practice Address - Street 2:SUITE 204B GEORGETOWN DOCTORS PARK
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-1524
Practice Address - Country:US
Practice Address - Phone:301-897-0806
Practice Address - Fax:301-897-9567
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDU285171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist