Provider Demographics
NPI:1174678437
Name:BALL, KAREN (ND)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:BALL
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2223 112TH AVE NE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-2952
Mailing Address - Country:US
Mailing Address - Phone:425-283-4928
Mailing Address - Fax:425-283-4325
Practice Address - Street 1:2223 112TH AVE NE
Practice Address - Street 2:SUITE 201
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-2952
Practice Address - Country:US
Practice Address - Phone:425-283-4928
Practice Address - Fax:425-283-4325
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1202175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath