Provider Demographics
NPI:1235324690
Name:MAGDALENE KARON, M.D., P.S.C.
Entity Type:Organization
Organization Name:MAGDALENE KARON, M.D., P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-277-3135
Mailing Address - Street 1:160 N EAGLE CREEK DR STE 205
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-2125
Mailing Address - Country:US
Mailing Address - Phone:859-277-3135
Mailing Address - Fax:859-276-4690
Practice Address - Street 1:160 N EAGLE CREEK DR
Practice Address - Street 2:SUITE 205
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2121
Practice Address - Country:US
Practice Address - Phone:859-277-3135
Practice Address - Fax:859-276-4690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64232697Medicaid
KY64232697Medicaid