Provider Demographics
NPI:1871099853
Name:MORROW, KAREN SUE I (STNA)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:MORROW
Suffix:I
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28564 US 23 HWY
Mailing Address - Street 2:
Mailing Address - City:SOUTH SHORE
Mailing Address - State:KY
Mailing Address - Zip Code:41175-7927
Mailing Address - Country:US
Mailing Address - Phone:606-498-4079
Mailing Address - Fax:
Practice Address - Street 1:28564 US 23 HWY
Practice Address - Street 2:
Practice Address - City:SOUTH SHORE
Practice Address - State:KY
Practice Address - Zip Code:41175-7927
Practice Address - Country:US
Practice Address - Phone:606-498-4079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0254392374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0254392Medicaid