Basic Information
Provider Information
NPI: 1689133647
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARMELY
FirstName: KAREN
MiddleName: LORRAINE
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7501 METCALF AVE
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 662042927
CountryCode: US
TelephoneNumber: 9132318621
FaxNumber:  
Practice Location
Address1: 7501 METCALF AVE
Address2:  
City: OVERLAND PARK
State: KS
PostalCode: 662042927
CountryCode: US
TelephoneNumber: 9136426330
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/18/2019
LastUpdateDate: 11/15/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/15/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X53-78464KSN Allopathic & Osteopathic PhysiciansFamily Medicine 
363LF0000X78464KSY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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