Individual
DR. KAREN K MAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2112 E 38TH STREET, DAVENPORT, IA 52807
(563) 359-0324
(563) 359-9409
Mailing address
2112 E 38TH STREET, DAVENPORT, IA 52807
(563) 359-0324
(563) 359-9409
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036113636
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113636
—
IL
01
—
P00306916
RR MEDICARE
IL
Enumeration date
01/25/2006
Last updated
02/24/2010
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