Provider Demographics
NPI:1255934923
Name:MARCUM, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:MARCUM
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 1:296 UPPER SHEPPARDTOWN RD
Mailing Address - Street 2:
Mailing Address - City:DELBARTON
Mailing Address - State:WV
Mailing Address - Zip Code:25670-7462
Mailing Address - Country:US
Mailing Address - Phone:304-475-8121
Mailing Address - Fax:
Practice Address - Street 1:296 UPPER SHEPPARDTOWN RD
Practice Address - Street 2:
Practice Address - City:DELBARTON
Practice Address - State:WV
Practice Address - Zip Code:25670-7462
Practice Address - Country:US
Practice Address - Phone:304-475-8121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant