Provider Demographics
NPI:1649433947
Name:STARKEY, KAREN MARIE (CNA)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:STARKEY
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:499 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BUNKER HILL
Mailing Address - State:IN
Mailing Address - Zip Code:46914-9000
Mailing Address - Country:US
Mailing Address - Phone:765-689-8559
Mailing Address - Fax:
Practice Address - Street 1:429 W LINCOLN RD
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-3508
Practice Address - Country:US
Practice Address - Phone:756-453-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INCNA90504523747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant