Provider Demographics
NPI:1972321297
Name:LINT, KARLA JEAN
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:JEAN
Last Name:LINT
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 1:149 LOCUST DR
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-3512
Mailing Address - Country:US
Mailing Address - Phone:937-266-8534
Mailing Address - Fax:
Practice Address - Street 1:123 CREAMER DR
Practice Address - Street 2:
Practice Address - City:CEDARVILLE
Practice Address - State:OH
Practice Address - Zip Code:45314-8506
Practice Address - Country:US
Practice Address - Phone:937-999-8257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver