Provider Demographics
NPI:1811997521
Name:KARNES, JULIE GAY (MD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:GAY
Last Name:KARNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8062 OVERMAN RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-6389
Mailing Address - Country:US
Mailing Address - Phone:937-840-0427
Mailing Address - Fax:937-393-5327
Practice Address - Street 1:8062 OVERMAN RD
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-6389
Practice Address - Country:US
Practice Address - Phone:937-840-0427
Practice Address - Fax:937-393-5327
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-22
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35071795K207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D71795OtherHUMANA
0104406OtherUNITED HEALTHCARE
0005804092OtherAETNA
000000270835OtherANTHEM
OH2056242Medicaid
PH00503684OtherNATIONWIDE
OH000000270835OtherOHIO OPERATING ENGINEERS
0104406OtherUNITED HEALTHCARE