Provider Demographics
NPI:1871995720
Name:KARR, REBECCA MICHAELA (LM)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:MICHAELA
Last Name:KARR
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4222 MCINTOSH LN
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-5027
Mailing Address - Country:US
Mailing Address - Phone:941-366-2229
Mailing Address - Fax:941-706-1534
Practice Address - Street 1:4222 MCINTOSH LN
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-5027
Practice Address - Country:US
Practice Address - Phone:941-366-2229
Practice Address - Fax:941-706-1534
Is Sole Proprietor?:No
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL298176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife