Provider Demographics
NPI:1619352465
Name:DR KAREN MD
Entity Type:Organization
Organization Name:DR KAREN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:K
Authorized Official - Last Name:WEESE BELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:970-300-3323
Mailing Address - Street 1:2900 S COLLEGE AVE
Mailing Address - Street 2:SUITE 3G
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2562
Mailing Address - Country:US
Mailing Address - Phone:970-300-3323
Mailing Address - Fax:970-266-8104
Practice Address - Street 1:2900 S COLLEGE AVE
Practice Address - Street 2:SUITE 3G
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2562
Practice Address - Country:US
Practice Address - Phone:970-300-3323
Practice Address - Fax:970-266-8104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-22
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty