Provider Demographics
NPI:1477795052
Name:AUBREY, KARLA DAMILLE (RRT-NPS)
Entity Type:Individual
Prefix:MS
First Name:KARLA
Middle Name:DAMILLE
Last Name:AUBREY
Suffix:
Gender:F
Credentials:RRT-NPS
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 36
Mailing Address - Street 2:124 E 224 HIWAY
Mailing Address - City:WELLINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:64097-0036
Mailing Address - Country:US
Mailing Address - Phone:816-934-2592
Mailing Address - Fax:
Practice Address - Street 1:601 E 14TH STREET
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:MO
Practice Address - Zip Code:65301
Practice Address - Country:US
Practice Address - Phone:660-826-8833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1018492279P3900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P3900XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredNeonatal/Pediatrics