Provider Demographics
NPI:1134249261
Name:MCPEEK, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:MCPEEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 CEDAR HILLS DR
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-8704
Mailing Address - Country:US
Mailing Address - Phone:606-437-1651
Mailing Address - Fax:606-437-1653
Practice Address - Street 1:164 CEDAR HILLS DR
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-8704
Practice Address - Country:US
Practice Address - Phone:606-437-1651
Practice Address - Fax:606-437-1653
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1627235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist