Lewis, Karen

Lewis, Karen is an sole proprietor health care provider with primary practice located at 200 Patewood Dr Ste B350 , Greenville SC 29615-6337. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lewis, Karen can be contacted via phone (864) 454-4500.

Contact Information

Primary practice address
200 Patewood Dr Ste B350 Greenville SC 29615-6337
Fax: (864) 454-4505
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 20886 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20886 South Carolina

Profile Details

NPI number 1730612342
LBN Legal business name Lewis, Karen
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2017
Last updated Oct 14th, 2021 - about 4 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 1730612342 NPPES
South Carolina MEDICAID NP4576

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