Provider Demographics
NPI:1659522894
Name:STEPHENS, KAREN LEE (OTR/L)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LEE
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 PROVIDENCE HILL
Mailing Address - Street 2:APT 11
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101
Mailing Address - Country:US
Mailing Address - Phone:606-585-1750
Mailing Address - Fax:606-408-2755
Practice Address - Street 1:201 PROVIDENCE HILL DR
Practice Address - Street 2:APT 11
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-2241
Practice Address - Country:US
Practice Address - Phone:606-585-1750
Practice Address - Fax:606-408-2755
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKYR3384225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist