Provider Demographics
NPI:1619122405
Name:ENGLISH, KAREN E (R,M,MR)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:R,M,MR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95073 CAPTAINS WAY
Mailing Address - Street 2:
Mailing Address - City:AMELIA ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32034-6210
Mailing Address - Country:US
Mailing Address - Phone:904-491-7700
Mailing Address - Fax:904-491-7701
Practice Address - Street 1:1699 S 14TH ST
Practice Address - Street 2:SUITE 16
Practice Address - City:FERNANDINA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32034-1963
Practice Address - Country:US
Practice Address - Phone:904-491-7700
Practice Address - Fax:904-491-7701
Is Sole Proprietor?:No
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCRT9244247100000X
1472832471M1202X, 2471M2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist
No2471M2300XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMammography