Provider Demographics
NPI:1881922565
Name:BELL, KAREN WARE (CLC)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:WARE
Last Name:BELL
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 THORNBERRY DR
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-3337
Mailing Address - Country:US
Mailing Address - Phone:407-844-4439
Mailing Address - Fax:407-695-1199
Practice Address - Street 1:101 THORNBERRY DR
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-3337
Practice Address - Country:US
Practice Address - Phone:407-844-4439
Practice Address - Fax:407-695-1199
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist