Basic Information
Provider Information
NPI: 1992758957
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EVANS
FirstName: KAREN
MiddleName: F
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6265 ROCK CHALK DRIVE
Address2: SUITE 1100
City: LAWRENCE
State: KS
PostalCode: 66049
CountryCode: US
TelephoneNumber: 7858425070
FaxNumber: 7855055264
Practice Location
Address1: 6265 ROCK CHALK DR
Address2: SUITE 1100
City: LAWRENCE
State: KS
PostalCode: 66049
CountryCode: US
TelephoneNumber: 7858425070
FaxNumber: 7855055264
Other Information
ProviderEnumerationDate: 05/18/2006
LastUpdateDate: 12/01/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/01/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X0529275KSY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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