Provider Demographics
NPI:1275544587
Name:HOLLIFIELD, KAREN (DC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:HOLLIFIELD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2953 VIRGINIA BEACH BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-6943
Mailing Address - Country:US
Mailing Address - Phone:757-498-8700
Mailing Address - Fax:
Practice Address - Street 1:2953 VIRGINIA BEACH BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-6943
Practice Address - Country:US
Practice Address - Phone:757-498-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000523111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAU27736Medicare UPIN