Individual
KAREN CAROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2450 ASHBY AVE, BERKELEY, CA 94705-2067
(510) 204-4444
Mailing address
2450 ASHBY AVE, BERKELEY, CA 94705-2067
(510) 204-4444
(562) 468-0347
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G71913
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G719130
—
CA
Enumeration date
05/04/2006
Last updated
04/07/2015
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