Provider Demographics
NPI:1396875209
Name:BEST, KAREENA L
Entity type:Individual
Prefix:
First Name:KAREENA
Middle Name:L
Last Name:BEST
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:KAREENA
Other - Middle Name:LAVON
Other - Last Name:MULCALLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:M 105 RICHARDSON HWY
Mailing Address - City:COPPER CENTER
Mailing Address - State:AL
Mailing Address - Zip Code:99573-0277
Mailing Address - Country:US
Mailing Address - Phone:907-822-3101
Mailing Address - Fax:
Practice Address - Street 1:128 SCENEGA
Practice Address - Street 2:
Practice Address - City:GLENNALLEN
Practice Address - State:AK
Practice Address - Zip Code:99588
Practice Address - Country:US
Practice Address - Phone:907-822-3384
Practice Address - Fax:907-822-5484
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
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