Provider Demographics
NPI:1821683301
Name:BURKEY, KAREN KATHERIN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:KATHERIN
Last Name:BURKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6558 AKRON RD
Mailing Address - Street 2:
Mailing Address - City:SMITHVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44677-9719
Mailing Address - Country:US
Mailing Address - Phone:330-601-4793
Mailing Address - Fax:
Practice Address - Street 1:6558 AKRON RD
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:OH
Practice Address - Zip Code:44677-9719
Practice Address - Country:US
Practice Address - Phone:330-601-4793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-05
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty