Provider Demographics
NPI:1356517163
Name:VELDMAN, KARI ROSE (DTH)
Entity type:Individual
Prefix:MRS
First Name:KARI
Middle Name:ROSE
Last Name:VELDMAN
Suffix:
Gender:F
Credentials:DTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 HEATHER DR
Mailing Address - Street 2:
Mailing Address - City:MAHOMET
Mailing Address - State:IL
Mailing Address - Zip Code:61853-2773
Mailing Address - Country:US
Mailing Address - Phone:217-586-4543
Mailing Address - Fax:
Practice Address - Street 1:1417 HEATHER DR
Practice Address - Street 2:
Practice Address - City:MAHOMET
Practice Address - State:IL
Practice Address - Zip Code:61853-2773
Practice Address - Country:US
Practice Address - Phone:217-586-4543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist