Individual
MRS. KAREN DALE BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM TN
Contact information
Practice address
25112 UNION HILL RD, ARDMORE, TN 38449-3168
(931) 427-3726
Mailing address
210 WILLINGHAM DR, CULLMAN, AL 35055-3183
(256) 734-4593
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CPM0000000022
TN
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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