Provider Demographics
NPI:1700382215
Name:STOPP, KAREN LYNETTE
Entity Type:Individual
Prefix:MISS
First Name:KAREN
Middle Name:LYNETTE
Last Name:STOPP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9220 W 760 RD
Mailing Address - Street 2:
Mailing Address - City:HULBERT
Mailing Address - State:OK
Mailing Address - Zip Code:74441-2607
Mailing Address - Country:US
Mailing Address - Phone:918-506-0191
Mailing Address - Fax:
Practice Address - Street 1:9220 W 760 RD
Practice Address - Street 2:
Practice Address - City:HULBERT
Practice Address - State:OK
Practice Address - Zip Code:74441-2607
Practice Address - Country:US
Practice Address - Phone:918-506-0191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist