Provider Demographics
NPI:1336752773
Name:LUSKEY, KARIN Y
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:Y
Last Name:LUSKEY
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 1:713 PENNY LN
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-7955
Mailing Address - Country:US
Mailing Address - Phone:651-492-1278
Mailing Address - Fax:
Practice Address - Street 1:713 PENNY LN
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-7955
Practice Address - Country:US
Practice Address - Phone:651-492-1278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker