Provider Demographics
NPI:1932171246
Name:KAROL, KATHLEEN K (MD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:K
Last Name:KAROL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2865 N REYNOLDS RD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-2068
Mailing Address - Country:US
Mailing Address - Phone:419-578-2020
Mailing Address - Fax:419-539-6323
Practice Address - Street 1:2865 N REYNOLDS RD
Practice Address - Street 2:SUITE 170
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-2068
Practice Address - Country:US
Practice Address - Phone:419-578-2020
Practice Address - Fax:419-539-6323
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35051740K207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000121695OtherANTHEM
OH00582OtherPARAMOUNT
OH1183130001OtherADMINASTAR
OHOC03451OtherNATIONWIDE HEALTH PLANS
OH1183130001Medicaid
OH311550308016OtherCIGNA
OH016145OtherONE HEALTH PLAN
OH032996OtherSELECTCARE
MI3401630Medicaid
OH4121922OtherAETNA
OH605679OtherFAMILY HEALTH PLAN
OH0800549OtherUNITED HEALTHCARE
OH032996OtherSELECTCARE
OH180030088Medicare ID - Type UnspecifiedRAILROAD
OH1183130001Medicaid
OH00582OtherPARAMOUNT