Provider Demographics
NPI:1265666788
Name:WITCHER, KAROLYN L (R EEG T, CNIM, CLTM)
Entity Type:Individual
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First Name:KAROLYN
Middle Name:L
Last Name:WITCHER
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Gender:F
Credentials:R EEG T, CNIM, CLTM
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Mailing Address - Street 1:8550 W CHARLESTON BLVD
Mailing Address - Street 2:#102-171
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-9210
Mailing Address - Country:US
Mailing Address - Phone:702-258-3315
Mailing Address - Fax:702-583-7920
Practice Address - Street 1:2810 W CHARLESTON BLVD
Practice Address - Street 2:SUITE H77
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1921
Practice Address - Country:US
Practice Address - Phone:702-258-3315
Practice Address - Fax:702-583-7920
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2013-11-22
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEG