Provider Demographics
NPI:1699807933
Name:MCCUNE, KAREN B (ACUPUCTURIST)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:B
Last Name:MCCUNE
Suffix:
Gender:F
Credentials:ACUPUCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 N GORSUCH RD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-6522
Mailing Address - Country:US
Mailing Address - Phone:410-871-9575
Mailing Address - Fax:
Practice Address - Street 1:218 E MAIN ST
Practice Address - Street 2:SUITE 5
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5225
Practice Address - Country:US
Practice Address - Phone:410-871-9575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00637171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist