Provider Demographics
NPI:1700304789
Name:KARMANN, KALLI DEE (COTA)
Entity Type:Individual
Prefix:MS
First Name:KALLI
Middle Name:DEE
Last Name:KARMANN
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:MRS
Other - First Name:KALLI
Other - Middle Name:DEE
Other - Last Name:MARIANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6814 W 72ND ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-1914
Mailing Address - Country:US
Mailing Address - Phone:785-209-0409
Mailing Address - Fax:
Practice Address - Street 1:6814 W 72ND ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204
Practice Address - Country:US
Practice Address - Phone:785-209-0409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS18-01392224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant