Provider Demographics
NPI:1255439766
Name:LAMPKIN, KAREN SUE (PT)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:SUE
Last Name:LAMPKIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:233 FLEMING RD
Mailing Address - Street 2:
Mailing Address - City:PELAHATCHIE
Mailing Address - State:MS
Mailing Address - Zip Code:39145-2865
Mailing Address - Country:US
Mailing Address - Phone:601-362-4471
Mailing Address - Fax:601-364-1394
Practice Address - Street 1:1500 E WOODROW WILSON AVE # 117
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-5116
Practice Address - Country:US
Practice Address - Phone:601-362-4471
Practice Address - Fax:601-364-1394
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MSPT1689225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist