Provider Demographics
NPI:1689795221
Name:THOMAS, KAREN BURNETTE (DC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:BURNETTE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4036
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21094-4036
Mailing Address - Country:US
Mailing Address - Phone:410-252-7770
Mailing Address - Fax:410-252-7774
Practice Address - Street 1:2300 YORK RD
Practice Address - Street 2:SUITE 117
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-2271
Practice Address - Country:US
Practice Address - Phone:410-252-7770
Practice Address - Fax:410-252-7774
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01818111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor