Provider Demographics
NPI:1790983252
Name:RIZZO, KARYN KENNEY (RN)
Entity Type:Individual
Prefix:MRS
First Name:KARYN
Middle Name:KENNEY
Last Name:RIZZO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:BLACKSTONE
Mailing Address - State:MA
Mailing Address - Zip Code:01504-1404
Mailing Address - Country:US
Mailing Address - Phone:401-623-6972
Mailing Address - Fax:
Practice Address - Street 1:146 LAKESHORE DR
Practice Address - Street 2:
Practice Address - City:BLACKSTONE
Practice Address - State:MA
Practice Address - Zip Code:01504-1404
Practice Address - Country:US
Practice Address - Phone:401-623-6972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN41296163WG0600X, 163WH1000X, 163WP0000X
MA204619163WG0600X, 163WH1000X, 163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WG0600XNursing Service ProvidersRegistered NurseGerontology
Not Answered163WH1000XNursing Service ProvidersRegistered NurseHospice
Not Answered163WP0000XNursing Service ProvidersRegistered NursePain Management