Provider Demographics
NPI:1194153817
Name:KARNES MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:KARNES MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:KARNES
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:606-625-1912
Mailing Address - Street 1:411 CENTRAL AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:SOUTH WILLIAMSON
Mailing Address - State:KY
Mailing Address - Zip Code:41503-4149
Mailing Address - Country:US
Mailing Address - Phone:606-237-6200
Mailing Address - Fax:606-237-6226
Practice Address - Street 1:411 CENTRAL AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:SOUTH WILLIAMSON
Practice Address - State:KY
Practice Address - Zip Code:41503-4149
Practice Address - Country:US
Practice Address - Phone:606-237-6200
Practice Address - Fax:606-237-6226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-15
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3003834363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty