Provider Demographics
NPI:1437563459
Name:ANDRES, KAREN WAI-KAI (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:WAI-KAI
Last Name:ANDRES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:WAI-KAI
Other - Last Name:LUK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1000 HIGHWAY 12
Mailing Address - Street 2:
Mailing Address - City:HETTINGER
Mailing Address - State:ND
Mailing Address - Zip Code:58639
Mailing Address - Country:US
Mailing Address - Phone:701-567-4561
Mailing Address - Fax:701-567-6369
Practice Address - Street 1:1000 HIGHWAY 12 WEST RIVER HEALTH SERVICES-
Practice Address - Street 2:
Practice Address - City:HETTINGER
Practice Address - State:ND
Practice Address - Zip Code:58639
Practice Address - Country:US
Practice Address - Phone:701-567-4561
Practice Address - Fax:701-567-6369
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDRL13314208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery