Provider Demographics
NPI:1912952631
Name:CHILDS, KAREN V (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:V
Last Name:CHILDS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8890 N UNION BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7799
Mailing Address - Country:US
Mailing Address - Phone:719-574-9191
Mailing Address - Fax:719-574-2829
Practice Address - Street 1:8890 N UNION BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7799
Practice Address - Country:US
Practice Address - Phone:719-574-9191
Practice Address - Fax:719-574-2829
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO29132208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01291327Medicaid
CO01291327Medicaid