Provider Demographics
NPI:1346764842
Name:NEUMANN, KARA
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 W MARTINTOWN RD STE 101
Mailing Address - Street 2:
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29841-3106
Mailing Address - Country:US
Mailing Address - Phone:803-441-0025
Mailing Address - Fax:803-441-0031
Practice Address - Street 1:1504 CAROLINA PLACE DR STE 114
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-7058
Practice Address - Country:US
Practice Address - Phone:803-349-3449
Practice Address - Fax:803-753-8476
Is Sole Proprietor?:No
Enumeration Date:2017-07-27
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3725208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation