Provider Demographics
NPI:1427735760
Name:BILLEC-WITMER, KAREN LOUISE (RRT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LOUISE
Last Name:BILLEC-WITMER
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:2269 CHARLESTON WAY
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45431-2693
Mailing Address - Country:US
Mailing Address - Phone:937-657-3893
Mailing Address - Fax:
Practice Address - Street 1:2269 CHARLESTON WAY
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45431-2693
Practice Address - Country:US
Practice Address - Phone:937-657-3893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-29
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRCP.16442279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health