Individual
KAREN S HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
6903 CROSSBOW PL, PROSPECT, KY 40059-9408
(502) 836-3297
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01044847
IN
2084P0800X
Psychiatry Physician
Primary
28028
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200185410A
—
IN
05
—
64280282
—
KY
Enumeration date
07/05/2005
Last updated
03/21/2024
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