Provider Demographics
NPI:1447360714
Name:HANTEN, KAREN LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LYNN
Last Name:HANTEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2733 ALPINE BLVD
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:CA
Mailing Address - Zip Code:91901-2226
Mailing Address - Country:US
Mailing Address - Phone:619-445-5664
Mailing Address - Fax:619-445-3531
Practice Address - Street 1:2733 ALPINE BLVD
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:CA
Practice Address - Zip Code:91901-2226
Practice Address - Country:US
Practice Address - Phone:619-445-5664
Practice Address - Fax:619-445-3531
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA045862208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics