Provider Demographics
NPI:1528336427
Name:BYRON, KAREN LEE (DC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LEE
Last Name:BYRON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:BYRON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:2202 NW 12TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-3473
Mailing Address - Country:US
Mailing Address - Phone:352-376-1320
Mailing Address - Fax:
Practice Address - Street 1:2202 NW 12TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-3473
Practice Address - Country:US
Practice Address - Phone:352-376-1320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA30524225700000X
FLCH10477111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1609275999OtherKAREN BYRON, DC, LLC