Individual
MS. KAREN ELAINE MANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2174 DIXIE HWY, FORT MITCHELL, KY 41017-2972
(859) 341-2566
(859) 341-2568
Mailing address
178 PICKETTS CHARGE, FORT THOMAS, KY 41075-1469
(859) 341-2566
(859) 341-2568
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1904DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1904DT
STATE LICENSE
KY
05
—
7100217150
—
KY
Enumeration date
07/27/2012
Last updated
04/19/2013
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