Provider Demographics
NPI:1750764288
Name:BLANCHARD, KAREN LOUISE (DVM)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LOUISE
Last Name:BLANCHARD
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2237 SHREWSBURY RUN E
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-8853
Mailing Address - Country:US
Mailing Address - Phone:901-221-8428
Mailing Address - Fax:
Practice Address - Street 1:2237 SHREWSBURY RUN E
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-8853
Practice Address - Country:US
Practice Address - Phone:901-221-8428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDV0000005515174M00000X
MD5074174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian