Basic Information
| Provider Information | |||||||||
| NPI: | 1528176955 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SWISHER | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | KAY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 511 S SANTA FE AVE | ||||||||
| Address2: | |||||||||
| City: | SALINA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 674014145 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7854524860 | ||||||||
| FaxNumber: | 7854524878 | ||||||||
| Practice Location | |||||||||
| Address1: | 511 S SANTA FE AVE | ||||||||
| Address2: | |||||||||
| City: | SALINA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 674014145 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7854524860 | ||||||||
| FaxNumber: | 7854524878 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/27/2006 | ||||||||
| LastUpdateDate: | 10/24/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/24/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 24053 | OK | N | Allopathic & Osteopathic Physicians | Hospitalist | 207RX0202X | 04-46501 | KS | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology | 207R00000X | 24053 | OK | N | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 30004755830001 | 05 | KS | MEDICAID |