Provider Demographics
NPI:1942298328
Name:NATION, KAREN K (DMD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:K
Last Name:NATION
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13819 ENGLISH VILLA DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-3994
Mailing Address - Country:US
Mailing Address - Phone:502-244-6886
Mailing Address - Fax:502-244-8867
Practice Address - Street 1:13819 ENGLISH VILLA DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40245-3994
Practice Address - Country:US
Practice Address - Phone:502-244-6886
Practice Address - Fax:502-244-8867
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY78761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY364513227Medicaid