Provider Demographics
NPI:1902854938
Name:RIVES, KAREN MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MARIE
Last Name:RIVES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2059
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28093-2059
Mailing Address - Country:US
Mailing Address - Phone:704-732-9966
Mailing Address - Fax:704-732-3788
Practice Address - Street 1:701 S LAUREL ST
Practice Address - Street 2:SUITE 3
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-3652
Practice Address - Country:US
Practice Address - Phone:704-732-9966
Practice Address - Fax:704-732-3788
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2008-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9601702207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC790293JMedicaid
NC2233468BMedicare PIN