Provider Demographics
NPI:1225141435
Name:BRIGHT, KAREN SUE (DPH)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:SUE
Last Name:BRIGHT
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 RIVERS RUN WAY
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-9005
Mailing Address - Country:US
Mailing Address - Phone:865-481-0865
Mailing Address - Fax:
Practice Address - Street 1:512 CLINCH AVE
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:TN
Practice Address - Zip Code:37716-4206
Practice Address - Country:US
Practice Address - Phone:865-457-0300
Practice Address - Fax:865-457-1383
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000004303183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist