Provider Demographics
NPI:1043899131
Name:HATFIELD, KAREN GAYE (RPH)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:GAYE
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9565 CREIGHTON DR
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-8011
Mailing Address - Country:US
Mailing Address - Phone:740-972-9290
Mailing Address - Fax:
Practice Address - Street 1:7300 STATE ROUTE 161 E
Practice Address - Street 2:
Practice Address - City:PLAIN CITY
Practice Address - State:OH
Practice Address - Zip Code:43064-9276
Practice Address - Country:US
Practice Address - Phone:614-733-5012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-213151835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist