Individual
JENNIFER M KARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3717 NAMEOKI RD, SUITE B, GRANITE CITY, IL 62040-3720
(618) 876-2438
(618) 876-2440
Mailing address
3717 NAMEOKI RD, SUITE B, GRANITE CITY, IL 62040-3720
(618) 876-2438
(618) 876-2440
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009717
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009717
—
IL
01
—
214954
MEDICARE GROUP PIN
IL
Enumeration date
09/05/2006
Last updated
07/28/2008
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