Provider Demographics
NPI:1831264373
Name:SIMPSON, KAREN W (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:W
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1268 ATTAKAPAS DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-6515
Mailing Address - Country:US
Mailing Address - Phone:337-948-8663
Mailing Address - Fax:337-948-8783
Practice Address - Street 1:1268 ATTAKAPAS DR
Practice Address - Street 2:SUITE 102
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-6515
Practice Address - Country:US
Practice Address - Phone:337-948-8663
Practice Address - Fax:337-948-8783
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA025694207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1041947Medicaid
LA1041947Medicaid
LAI68130Medicare UPIN
LA4K383BD23Medicare PIN