Provider Demographics
NPI:1629063375
Name:NONHOF, KAREN L (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:L
Last Name:NONHOF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7560 LINDSAY DR
Mailing Address - Street 2:
Mailing Address - City:HOLCOMB
Mailing Address - State:KS
Mailing Address - Zip Code:67851-9783
Mailing Address - Country:US
Mailing Address - Phone:620-277-2087
Mailing Address - Fax:620-275-4729
Practice Address - Street 1:712 SAINT JOHN ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-5128
Practice Address - Country:US
Practice Address - Phone:620-275-1766
Practice Address - Fax:620-275-4729
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-18913207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS2050186701Medicaid
KS020453OtherBC/BS PROVIDER NUMBER
KS171814Medicare PIN
KS171810Medicare PIN
KS020453OtherBC/BS PROVIDER NUMBER
KS45969Medicare UPIN
KS171815Medicare PIN