Provider Demographics
NPI:1265259923
Name:PATE, KAREN
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:PATE
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:PATE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:6331 LIMEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-6150
Mailing Address - Country:US
Mailing Address - Phone:502-645-0395
Mailing Address - Fax:
Practice Address - Street 1:2000 NEWBURG RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-1895
Practice Address - Country:US
Practice Address - Phone:502-459-9681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY004734225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist