Provider Demographics
NPI:1619079563
Name:BELLOWS, KAREN F (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:F
Last Name:BELLOWS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2945 SW WANAMAKER DR
Mailing Address - Street 2:STE D
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-5321
Mailing Address - Country:US
Mailing Address - Phone:785-271-5888
Mailing Address - Fax:785-228-0775
Practice Address - Street 1:2945 SW WANAMAKER DR
Practice Address - Street 2:STE D
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5321
Practice Address - Country:US
Practice Address - Phone:785-271-5888
Practice Address - Fax:785-228-0775
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW 08371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS011143Medicare ID - Type Unspecified