Provider Demographics
NPI:1124814389
Name:HARPER, KARLTON O
Entity type:Individual
Prefix:
First Name:KARLTON
Middle Name:O
Last Name:HARPER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-4701
Mailing Address - Country:US
Mailing Address - Phone:419-213-0861
Mailing Address - Fax:
Practice Address - Street 1:4624 DAVIDS CRK
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43611-1972
Practice Address - Country:US
Practice Address - Phone:419-213-0861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker