Provider Demographics
NPI:1841435583
Name:BURKS, KAREN NELDA (MSP, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:NELDA
Last Name:BURKS
Suffix:
Gender:F
Credentials:MSP, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 COUNTRY CLUB CIR
Mailing Address - Street 2:
Mailing Address - City:MANILA
Mailing Address - State:AR
Mailing Address - Zip Code:72442-8161
Mailing Address - Country:US
Mailing Address - Phone:870-561-3920
Mailing Address - Fax:
Practice Address - Street 1:419 EAST OLYMPIA
Practice Address - Street 2:
Practice Address - City:MANILA
Practice Address - State:AR
Practice Address - Zip Code:72442
Practice Address - Country:US
Practice Address - Phone:870-561-3145
Practice Address - Fax:870-561-8119
Is Sole Proprietor?:No
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist