Provider Demographics
NPI:1346684669
Name:DAME, KAREN J (CHC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:J
Last Name:DAME
Suffix:
Gender:F
Credentials:CHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9672 E PRESERVE WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85262-1457
Mailing Address - Country:US
Mailing Address - Phone:904-994-0636
Mailing Address - Fax:
Practice Address - Street 1:9672 E PRESERVE WAY
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85262-1457
Practice Address - Country:US
Practice Address - Phone:904-994-0636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator