Provider Demographics
NPI:1710013057
Name:TAPLEY, KARYN LYN (MD MBA)
Entity Type:Individual
Prefix:DR
First Name:KARYN
Middle Name:LYN
Last Name:TAPLEY
Suffix:
Gender:F
Credentials:MD MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 CROWN POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32506-8369
Mailing Address - Country:US
Mailing Address - Phone:302-373-1323
Mailing Address - Fax:
Practice Address - Street 1:220 W GARDEN ST STE 220
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-5702
Practice Address - Country:US
Practice Address - Phone:302-373-1323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME118709208D00000X, 202D00000X
ORMD150922174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0284150OtherL&I
OR500621028Medicaid