Provider Demographics
NPI:1356487573
Name:SEXTON, KAREN A (DC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:SEXTON
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 1:3821 FALMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:MARSTONS MILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02648-5701
Mailing Address - Country:US
Mailing Address - Phone:508-420-5787
Mailing Address - Fax:508-420-5787
Practice Address - Street 1:3821 FALMOUTH RD
Practice Address - Street 2:
Practice Address - City:MARSTONS MILLS
Practice Address - State:MA
Practice Address - Zip Code:02648-5701
Practice Address - Country:US
Practice Address - Phone:508-420-5787
Practice Address - Fax:508-420-5787
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA773111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MASEY35583Medicare UPIN