Provider Demographics
NPI:1164581484
Name:CULBRETH, KAREN W (PA)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:W
Last Name:CULBRETH
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Gender:F
Credentials:PA
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Mailing Address - Street 1:812 W DR MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-3338
Mailing Address - Country:US
Mailing Address - Phone:813-224-9222
Mailing Address - Fax:813-224-9224
Practice Address - Street 1:812 W DR MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-3338
Practice Address - Country:US
Practice Address - Phone:813-224-9222
Practice Address - Fax:813-224-9224
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2016-06-13
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Provider Licenses
StateLicense IDTaxonomies
FLPA 1527363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant