Provider Demographics
NPI:1972971646
Name:DUKE, KAREN (RDH)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:DUKE
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1691 ARNOLD HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:MC EWEN
Mailing Address - State:TN
Mailing Address - Zip Code:37101-5046
Mailing Address - Country:US
Mailing Address - Phone:615-631-4551
Mailing Address - Fax:
Practice Address - Street 1:5110 MARYLAND WAY STE 190
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4161
Practice Address - Country:US
Practice Address - Phone:615-373-2030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-10
Last Update Date:2023-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15404124Q00000X
174400000X
TN6754124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
No174400000XOther Service ProvidersSpecialist