Provider Demographics
NPI:1356549927
Name:WADHAMS, KAREN LEE (OD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LEE
Last Name:WADHAMS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16165 KENNETH RD
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:KS
Mailing Address - Zip Code:66085-9279
Mailing Address - Country:US
Mailing Address - Phone:617-953-3132
Mailing Address - Fax:
Practice Address - Street 1:2094 ALBANY POST ROAD
Practice Address - Street 2:VHA HVHCS
Practice Address - City:MONTROSE
Practice Address - State:NY
Practice Address - Zip Code:10548
Practice Address - Country:US
Practice Address - Phone:914-737-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program