Provider Demographics
NPI:1447514161
Name:KARLS, CARA L
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:L
Last Name:KARLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 LINCOLN WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WHITE OAK
Mailing Address - State:PA
Mailing Address - Zip Code:15131-1642
Mailing Address - Country:US
Mailing Address - Phone:412-673-2200
Mailing Address - Fax:412-673-3205
Practice Address - Street 1:1220 LINCOLN WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:WHITE OAK
Practice Address - State:PA
Practice Address - Zip Code:15131-1642
Practice Address - Country:US
Practice Address - Phone:412-673-2200
Practice Address - Fax:412-673-3205
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA002869363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical