Provider Demographics
NPI:1972798361
Name:DULANEY, KARYN ALAYNE (DPT)
Entity Type:Individual
Prefix:
First Name:KARYN
Middle Name:ALAYNE
Last Name:DULANEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:KARYN
Other - Middle Name:ALAYNE
Other - Last Name:LOWERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:6300 GEORGETOWN BLVD STE 139
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6422
Mailing Address - Country:US
Mailing Address - Phone:410-644-1880
Mailing Address - Fax:443-300-3160
Practice Address - Street 1:6300 GEORGETOWN BLVD STE 139
Practice Address - Street 2:
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-6422
Practice Address - Country:US
Practice Address - Phone:410-644-1880
Practice Address - Fax:443-300-3160
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22258225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD609MR585Medicare PIN