Provider Demographics
NPI:1184281255
Name:WHITE, KAREN LEIGH I (COMS)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LEIGH
Last Name:WHITE
Suffix:I
Gender:F
Credentials:COMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2066 W TUNNEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:OWINGSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40360-9038
Mailing Address - Country:US
Mailing Address - Phone:606-465-2786
Mailing Address - Fax:
Practice Address - Street 1:2066 W TUNNEL HILL RD
Practice Address - Street 2:
Practice Address - City:OWINGSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40360-9038
Practice Address - Country:US
Practice Address - Phone:606-465-2786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-23
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4529225CX0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CX0006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorOrientation and Mobility Training Provider