Provider Demographics
NPI:1679750038
Name:HOENER, KARA LYNN (DT)
Entity Type:Individual
Prefix:MS
First Name:KARA
Middle Name:LYNN
Last Name:HOENER
Suffix:
Gender:F
Credentials:DT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 1/2 KENTUCKY ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-4215
Mailing Address - Country:US
Mailing Address - Phone:217-430-8992
Mailing Address - Fax:217-222-9593
Practice Address - Street 1:1229 1/2 KENTUCKY ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-4215
Practice Address - Country:US
Practice Address - Phone:217-430-8992
Practice Address - Fax:217-222-9593
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator