Provider Demographics
NPI:1568670602
Name:MCKEIVER, KAREN DT (RN)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:DT
Last Name:MCKEIVER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:DENISE
Other - Last Name:TOMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2139 GEORGIA AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20059-0001
Mailing Address - Country:US
Mailing Address - Phone:202-806-7540
Mailing Address - Fax:202-332-8576
Practice Address - Street 1:2139 GEORGIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20059-0001
Practice Address - Country:US
Practice Address - Phone:202-806-7540
Practice Address - Fax:202-332-8576
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN45040163WC1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCRN45040OtherREGISTERED NURS