Provider Demographics
NPI:1457371106
Name:MINNER, KAREN M (DO)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:M
Last Name:MINNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:504 CATHEY RD
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-3615
Mailing Address - Country:US
Mailing Address - Phone:864-225-1635
Mailing Address - Fax:864-224-6394
Practice Address - Street 1:1702 E GREENVILLE ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-2009
Practice Address - Country:US
Practice Address - Phone:864-224-5450
Practice Address - Fax:864-224-6394
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0710207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine