Provider Demographics
NPI:1295097947
Name:KARKER, KAREN SIMMONS
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:SIMMONS
Last Name:KARKER
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:PO BOX 667
Mailing Address - Street 2:276 MAIN ST.
Mailing Address - City:SCHOHARIE
Mailing Address - State:NY
Mailing Address - Zip Code:12157-0667
Mailing Address - Country:US
Mailing Address - Phone:518-295-8702
Mailing Address - Fax:518-295-8786
Practice Address - Street 1:276 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SCHOHARIE
Practice Address - State:NY
Practice Address - Zip Code:12157
Practice Address - Country:US
Practice Address - Phone:518-295-8702
Practice Address - Fax:518-295-8786
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator