Provider Demographics
NPI:1275352726
Name:MCDONALD, KAREN DAPHNE
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:DAPHNE
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3840 LONGTON DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-5808
Mailing Address - Country:US
Mailing Address - Phone:614-493-7324
Mailing Address - Fax:
Practice Address - Street 1:3840 LONGTON DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-5808
Practice Address - Country:US
Practice Address - Phone:614-493-7324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care