Provider Demographics
NPI:1265641757
Name:MAPLES, KAREN D (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:D
Last Name:MAPLES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 CASSIDY WAY
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-8457
Mailing Address - Country:US
Mailing Address - Phone:859-936-1222
Mailing Address - Fax:859-936-2003
Practice Address - Street 1:60 CASSIDY WAY
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-8457
Practice Address - Country:US
Practice Address - Phone:859-936-1222
Practice Address - Fax:859-936-2003
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY12064183500000X
AK1486183500000X
WAPH21191183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist