Provider Demographics
NPI:1841706090
Name:KARACZ, KIMBERLY BETH
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:BETH
Last Name:KARACZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 ARROWOOD PL
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-7889
Mailing Address - Country:US
Mailing Address - Phone:512-417-0385
Mailing Address - Fax:
Practice Address - Street 1:605 ARROWOOD PL
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-7889
Practice Address - Country:US
Practice Address - Phone:512-417-0385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-26
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies