Provider Demographics
NPI:1508365776
Name:SLOBODA, KAREN (DC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:SLOBODA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4141 PIONEER WOODS DR
Mailing Address - Street 2:STE 116
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-7569
Mailing Address - Country:US
Mailing Address - Phone:402-420-0440
Mailing Address - Fax:402-420-0443
Practice Address - Street 1:3121 SOUTH 11TH STREET
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502
Practice Address - Country:US
Practice Address - Phone:402-328-0028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-02
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1958111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor