Provider Demographics
NPI:1720254659
Name:ALTSMAN, KAREN BISHOP (RPH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:BISHOP
Last Name:ALTSMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7519 OUTER LOOP
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40228-1726
Mailing Address - Country:US
Mailing Address - Phone:502-231-2424
Mailing Address - Fax:502-231-8748
Practice Address - Street 1:7519 OUTER LOOP
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40228-1726
Practice Address - Country:US
Practice Address - Phone:502-231-2424
Practice Address - Fax:502-231-8748
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY010406183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist