Koelemay, Karen

Koelemay, Karen is an sole proprietor health care provider with primary practice located at 1900 Exeter Rd Suite 210, Germantown TN 38138-2954. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Koelemay, Karen can be contacted via phone (901) 818-2160.

Contact Information

Primary practice address
1900 Exeter Rd Suite 210 Germantown TN 38138-2954
Phone: (901) 818-2160
Fax: (901) 682-9522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN 10857 Tennessee
Nursing Service Providers / Registered Nurse 163W00000X RN 139171 Tennessee

Profile Details

NPI number 1407807811
LBN Legal business name Koelemay, Karen
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Jun 9th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407807811 NPPES
Mississippi MEDICAID 04434872
Mississippi MEDICAID 915186829
Mississippi MEDICAID 127877701
Mississippi MEDICAID 3633447
Mississippi Other 4089877
Mississippi Other 5T029
Mississippi Other P00127942

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