Provider Demographics
NPI:1972283604
Name:KAROW, JENEL (CFY SLP)
Entity Type:Individual
Prefix:
First Name:JENEL
Middle Name:
Last Name:KAROW
Suffix:
Gender:F
Credentials:CFY SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7382 S 39TH CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-8307
Mailing Address - Country:US
Mailing Address - Phone:414-870-2459
Mailing Address - Fax:
Practice Address - Street 1:430 WILCOX ST
Practice Address - Street 2:
Practice Address - City:FORT ATKINSON
Practice Address - State:WI
Practice Address - Zip Code:53538-1968
Practice Address - Country:US
Practice Address - Phone:920-563-5533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program