Provider Demographics
NPI:1689791758
Name:DORAN, KAROLE A (OTR)
Entity Type:Individual
Prefix:
First Name:KAROLE
Middle Name:A
Last Name:DORAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6506 WATCH HILL RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40228-1369
Mailing Address - Country:US
Mailing Address - Phone:502-239-3684
Mailing Address - Fax:502-231-7511
Practice Address - Street 1:6506 WATCH HILL RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40228-1369
Practice Address - Country:US
Practice Address - Phone:502-239-3684
Practice Address - Fax:502-231-7511
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-R0018225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist