Provider Demographics
NPI:1417136318
Name:HARROLD, KAREN A (LPN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:HARROLD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13345 SOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIANA
Mailing Address - State:OH
Mailing Address - Zip Code:44408-9761
Mailing Address - Country:US
Mailing Address - Phone:330-549-0062
Mailing Address - Fax:330-549-0062
Practice Address - Street 1:600 SPRING ACRES LN
Practice Address - Street 2:
Practice Address - City:NORTH LIMA
Practice Address - State:OH
Practice Address - Zip Code:44452-8550
Practice Address - Country:US
Practice Address - Phone:330-549-0717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 064841164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPN2481783Medicare PIN