Provider Demographics
NPI:1396964821
Name:BEHAN, KAREN KRENZBERGER (MT(ASCP), CLS)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:KRENZBERGER
Last Name:BEHAN
Suffix:
Gender:F
Credentials:MT(ASCP), CLS
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1015 PINEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-3244
Mailing Address - Country:US
Mailing Address - Phone:406-549-9421
Mailing Address - Fax:
Practice Address - Street 1:C URRY HEALTH CTR
Practice Address - Street 2:634 EDDY AVENUE
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59812-0001
Practice Address - Country:US
Practice Address - Phone:406-243-2778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246QL0900X
MT268291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered246QL0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory Management
Not Answered291U00000XLaboratoriesClinical Medical Laboratory