Provider Demographics
NPI:1104810464
Name:PARRY, KAREN LYNNE (DC)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LYNNE
Last Name:PARRY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:LYNNE
Other - Last Name:PARRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:811 N CATALINA AVE
Mailing Address - Street 2:SUITE 2312
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-2133
Mailing Address - Country:US
Mailing Address - Phone:310-540-1619
Mailing Address - Fax:310-376-9867
Practice Address - Street 1:811 N CATALINA AVE
Practice Address - Street 2:SUITE 2312
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-2133
Practice Address - Country:US
Practice Address - Phone:310-540-1619
Practice Address - Fax:310-376-9867
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18906111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health