Provider Demographics
NPI:1578683546
Name:BAYS, KAREN L (MED)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:L
Last Name:BAYS
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 MARR RD
Mailing Address - Street 2:
Mailing Address - City:CASSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45312-9706
Mailing Address - Country:US
Mailing Address - Phone:937-335-5340
Mailing Address - Fax:937-237-0170
Practice Address - Street 1:6373 KITTYHAWK COMMONS BLVD
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-4043
Practice Address - Country:US
Practice Address - Phone:937-237-1001
Practice Address - Fax:937-237-0170
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP90103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool