Basic Information
| Provider Information | |||||||||
| NPI: | 1760523096 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | O'NIELL | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | G. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 644 S 3RD ST | ||||||||
| Address2: | APT. # 138 | ||||||||
| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402022452 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5025580963 | ||||||||
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| Practice Location | |||||||||
| Address1: | 530 S JACKSON ST | ||||||||
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| City: | LOUISVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 402021675 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5025623000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/09/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | IP941 | KY | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.