Provider Demographics
NPI:1699957480
Name:KARR, KARI WARD (PHD)
Entity type:Individual
Prefix:DR
First Name:KARI
Middle Name:WARD
Last Name:KARR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9214 LAS CAMAS RD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-2432
Mailing Address - Country:US
Mailing Address - Phone:505-710-1640
Mailing Address - Fax:505-296-0878
Practice Address - Street 1:12412 MENAUL BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-2556
Practice Address - Country:US
Practice Address - Phone:505-710-1640
Practice Address - Fax:505-296-0878
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM402103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM35170531Medicaid
NM1891892865OtherNPI