Provider Demographics
NPI:1437862513
Name:CONGER, KARALYNN
Entity Type:Individual
Prefix:
First Name:KARALYNN
Middle Name:
Last Name:CONGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:CONGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 982
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-0982
Mailing Address - Country:US
Mailing Address - Phone:248-657-4122
Mailing Address - Fax:
Practice Address - Street 1:1903 S ELBA RD
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-9208
Practice Address - Country:US
Practice Address - Phone:248-657-4122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula