Provider Demographics
NPI:1386271062
Name:WEBB, KAREN (LPN, CDCA)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:WEBB
Suffix:
Gender:F
Credentials:LPN, CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5737 BIGGER RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45440-2752
Mailing Address - Country:US
Mailing Address - Phone:513-738-7600
Mailing Address - Fax:513-738-7601
Practice Address - Street 1:5737 BIGGER RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45440-2752
Practice Address - Country:US
Practice Address - Phone:513-738-7600
Practice Address - Fax:513-738-7601
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.172469101YA0400X
OHLPN.172220.MEDS-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)