Individual
KAREN L SPODAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2154
(843) 805-6277
Mailing address
PO BOX 2363, INDIANAPOLIS, IN 46206-2363
(843) 724-2154
(843) 805-6277
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2542
KY
2085R0202X
Diagnostic Radiology Physician
4870
OK
2085R0202X
Diagnostic Radiology Physician
Primary
DO1374
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200294710A
OSU MEDICAID
OK
05
—
200294710B
—
OK
05
—
64025422
—
KY
Enumeration date
07/06/2006
Last updated
11/14/2014
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