Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 01070078A | IN |
NPI | 1225296247 |
---|---|
Provider Name | Dr. Karenrose R Contreras |
First Address | Cincinnati, OH 45263-7273 |
Second Address | Newburgh, IN 47630-8940 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 09/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201071860 | (05) | IN |