Provider Demographics
NPI:1205809522
Name:HARSH, KAREN L (DO)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:L
Last Name:HARSH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 N BELLWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-1120
Mailing Address - Country:US
Mailing Address - Phone:423-587-8300
Mailing Address - Fax:423-587-6500
Practice Address - Street 1:305 N BELLWOOD RD
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-1120
Practice Address - Country:US
Practice Address - Phone:423-587-8300
Practice Address - Fax:423-587-6500
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TND0001012207Q00000X
TNDO 001012207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3373729Medicaid
TN1504610Medicaid
TN3303584Medicare PIN
TN33035801Medicare PIN
TN3373729Medicaid
33035802Medicare PIN