Provider Demographics
NPI:1629691969
Name:KARN, CHRISTINE E (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:E
Last Name:KARN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 KEYNOTE CIR
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-1870
Mailing Address - Country:US
Mailing Address - Phone:216-931-1300
Mailing Address - Fax:
Practice Address - Street 1:925 KEYNOTE CIR
Practice Address - Street 2:
Practice Address - City:BROOKLYN HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44131-1870
Practice Address - Country:US
Practice Address - Phone:216-931-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-21
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSA544424163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1306109558OtherNPI
OH2098359Medicaid