Provider Demographics
NPI:1851462360
Name:SHANKS, KARYN MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:KARYN
Middle Name:MARIE
Last Name:SHANKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:610 EASTBURY DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-7603
Mailing Address - Country:US
Mailing Address - Phone:319-358-9510
Mailing Address - Fax:319-358-9524
Practice Address - Street 1:610 EASTBURY DR
Practice Address - Street 2:SUITE 5
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-7603
Practice Address - Country:US
Practice Address - Phone:319-358-9510
Practice Address - Fax:319-358-9524
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-10-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA29583207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine