Provider Demographics
NPI:1760604086
Name:HANDY, KAREN A (DC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:A
Last Name:HANDY
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 1:23111 VENTURA BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1159
Mailing Address - Country:US
Mailing Address - Phone:818-223-8702
Mailing Address - Fax:
Practice Address - Street 1:23111 VENTURA BLVD STE 203
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1159
Practice Address - Country:US
Practice Address - Phone:818-223-8702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC18437111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC18437OtherMEDICARE PTAN