Individual
KAREN KENNEDY TYUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
819 W 1ST ST, SANFORD, FL 32771-1123
(407) 321-3884
(407) 321-3885
Mailing address
421 S PARSONS AVE, DELAND, FL 32720-5318
(386) 748-1542
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
MW116
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340123500
—
FL
Enumeration date
11/01/2006
Last updated
07/09/2007
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