Provider Demographics
NPI:1912348087
Name:WEEDEN, KARMA L (DDS)
Entity Type:Individual
Prefix:DR
First Name:KARMA
Middle Name:L
Last Name:WEEDEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 KNOXBERRY DR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-7608
Mailing Address - Country:US
Mailing Address - Phone:712-490-6227
Mailing Address - Fax:
Practice Address - Street 1:361 GRANT AVE
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-4201
Practice Address - Country:US
Practice Address - Phone:785-320-7134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS610181223G0001X
MO20130207671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice