Provider Demographics
NPI:1811760499
Name:ABBOTT, KAREY (NON-EMERGENCY TRANS)
Entity type:Individual
Prefix:
First Name:KAREY
Middle Name:
Last Name:ABBOTT
Suffix:
Gender:F
Credentials:NON-EMERGENCY TRANS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:993 E SCHOOL WAY # 315
Mailing Address - Street 2:
Mailing Address - City:REDWOOD VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95470-9900
Mailing Address - Country:US
Mailing Address - Phone:707-489-9236
Mailing Address - Fax:
Practice Address - Street 1:482 W SMOKE TREE RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-6868
Practice Address - Country:US
Practice Address - Phone:707-489-9236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
No374U00000XNursing Service Related ProvidersHome Health Aide