Individual
KAREN A ADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4665 DOUGLAS CIR NW, SUITE 101, CANTON, OH 44718-3673
(330) 489-1698
(330) 489-1325
Mailing address
PO BOX 182255, COLUMBUS, OH 43218-2255
(614) 430-5723
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN200862
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000257673
ANTHEM
—
05
—
0991584
—
OH
Enumeration date
05/17/2006
Last updated
08/21/2007
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