Provider Demographics
NPI:1427664754
Name:GARRETT, KAREN M
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:GARRETT
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 1:3568 DODGE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-3222
Mailing Address - Country:US
Mailing Address - Phone:402-345-0791
Mailing Address - Fax:402-345-0938
Practice Address - Street 1:3568 DODGE ST STE 2
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-3222
Practice Address - Country:US
Practice Address - Phone:402-345-0791
Practice Address - Fax:402-345-0938
Is Sole Proprietor?:No
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist