Provider Demographics
NPI:1265550032
Name:KARNS, JENNIFER LILIAN (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LILIAN
Last Name:KARNS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:865B W NAPA ST
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-6414
Mailing Address - Country:US
Mailing Address - Phone:707-933-1533
Mailing Address - Fax:707-935-8987
Practice Address - Street 1:865B W NAPA ST
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-6414
Practice Address - Country:US
Practice Address - Phone:707-933-1533
Practice Address - Fax:707-935-8987
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28685111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0286850Medicare ID - Type UnspecifiedCHIROPRACTOR