Provider Demographics
NPI:1366635690
Name:THUMMEL, KAREN ASHELY (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ASHELY
Last Name:THUMMEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:COLBY
Mailing Address - State:KS
Mailing Address - Zip Code:67701-2140
Mailing Address - Country:US
Mailing Address - Phone:785-460-6800
Mailing Address - Fax:
Practice Address - Street 1:480 W 4TH ST
Practice Address - Street 2:
Practice Address - City:COLBY
Practice Address - State:KS
Practice Address - Zip Code:67701-2140
Practice Address - Country:US
Practice Address - Phone:785-460-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS70161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice