Provider Demographics
NPI:1891004289
Name:KASCHMITTER, KAREN JOAN (LPN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:JOAN
Last Name:KASCHMITTER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17965 JUBILEE WAY
Mailing Address - Street 2:APT A
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-4547
Mailing Address - Country:US
Mailing Address - Phone:507-217-1098
Mailing Address - Fax:
Practice Address - Street 1:17965 JUBILEE WAY
Practice Address - Street 2:APT A
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-4547
Practice Address - Country:US
Practice Address - Phone:507-217-1098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNL 61201 6164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse