Provider Demographics
NPI:1487632386
Name:KRIGGER, KAREN W (MD EDD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:W
Last Name:KRIGGER
Suffix:
Gender:F
Credentials:MD EDD
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 909
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40201-0909
Mailing Address - Country:US
Mailing Address - Phone:502-588-0330
Mailing Address - Fax:
Practice Address - Street 1:300 E MARKET ST STE 200
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1959
Practice Address - Country:US
Practice Address - Phone:502-852-8953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY27068207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64270689Medicaid
IN200038010Medicaid
KY64270689Medicaid
KY0048423Medicare PIN
KY1271140Medicare PIN
KY0631226Medicare PIN
KYF16438Medicare UPIN
KY1271140Medicare ID - Type Unspecified
KY0766166Medicare PIN