Provider Demographics
NPI:1104965722
Name:MARKLAND-PAPENHEIM, KARRIE (DC)
Entity type:Individual
Prefix:MS
First Name:KARRIE
Middle Name:
Last Name:MARKLAND-PAPENHEIM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 N C 470
Mailing Address - Street 2:
Mailing Address - City:LAKE PANASOFFKEE
Mailing Address - State:FL
Mailing Address - Zip Code:33538-6048
Mailing Address - Country:US
Mailing Address - Phone:352-793-3337
Mailing Address - Fax:352-793-3337
Practice Address - Street 1:116 N C 470
Practice Address - Street 2:
Practice Address - City:LAKE PANASOFFKEE
Practice Address - State:FL
Practice Address - Zip Code:33538-6048
Practice Address - Country:US
Practice Address - Phone:352-793-3337
Practice Address - Fax:352-793-3337
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 7272111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU13569Medicare UPIN
FL70193Medicare PIN