Provider Demographics
NPI:1790720340
Name:KONARSKI-HART, KAREN KAY (DC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:KAY
Last Name:KONARSKI-HART
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 1:422 N CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5538
Mailing Address - Country:US
Mailing Address - Phone:501-664-1477
Mailing Address - Fax:501-666-2549
Practice Address - Street 1:422 N CEDAR ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5538
Practice Address - Country:US
Practice Address - Phone:501-664-1477
Practice Address - Fax:501-666-2549
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR934111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR59494Medicare ID - Type Unspecified
T20662Medicare UPIN