Provider Demographics
NPI:1821461260
Name:CRAVEN, KAREN S (MACOM)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:CRAVEN
Suffix:
Gender:F
Credentials:MACOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3724 CEDARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-2314
Mailing Address - Country:US
Mailing Address - Phone:615-228-3286
Mailing Address - Fax:855-217-9775
Practice Address - Street 1:3724 CEDARWOOD DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-2314
Practice Address - Country:US
Practice Address - Phone:615-228-3286
Practice Address - Fax:855-217-9775
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-06
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNACU0000000226171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist