Individual
KAREN YEVETT DECKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
417 S 6TH ST, SUITE A, MAYFIELD, KY 42066-2328
(270) 251-3590
(270) 251-3586
Mailing address
PO BOX 187, MAYFIELD, KY 42066-0015
(270) 251-3590
(270) 251-3586
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002616
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000067871
ANTHEM BCBS
KY
05
—
8700058400
—
KY
Enumeration date
09/06/2006
Last updated
03/03/2011
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