Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 2000-01059 | NC |
Y | 207Q00000X | Family Doctor | ME127764 | FL |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 200001059 | NC |
NPI | 1760413090 |
---|---|
Provider Name | Dr. Karen M Bartley |
First Address | Tallahassee, FL 32308-5352 |
Second Address | Crawfordville, FL 32327-3117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 13/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020751600 | (05) | FL |
2282501A | (02) | NC |
89127XV | (05) | NC |
G73397 | (02) | NC |