Provider Demographics
NPI:1366485211
Name:FEELEY, KAREN M (DC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:M
Last Name:FEELEY
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:PO BOX 607
Mailing Address - Street 2:
Mailing Address - City:BLOUNTVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37617-0607
Mailing Address - Country:US
Mailing Address - Phone:423-323-7691
Mailing Address - Fax:423-323-1059
Practice Address - Street 1:103 KEYSTONE DR
Practice Address - Street 2:
Practice Address - City:BLOUNTVILLE
Practice Address - State:TN
Practice Address - Zip Code:37617-4752
Practice Address - Country:US
Practice Address - Phone:423-323-7691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000001132111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3677391Medicaid
TN3677391Medicaid
TN3677391Medicare PIN