Manko, Karen Elaine
Manko, Karen Elaine is an individual health care provider with primary practice located at 2174 Dixie Hwy , Fort Mitchell KY 41017-2972. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Manko, Karen Elaine can be contacted via phone (859) 341-2566.Contact Information
Primary practice address
2174 Dixie Hwy
Fort Mitchell KY 41017-2972
Phone: (859) 341-2566
Fax: (859) 341-2568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1904DT | Kentucky |
Profile Details
| NPI number | 1487900494 |
|---|---|
| LBN Legal business name | Manko, Karen Elaine |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2012 |
| Last updated | Apr 19th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487900494 | NPPES |
| Kentucky | Other | 1904DT | STATE LICENSE |
| Kentucky | MEDICAID | 7100217150 | STATE LICENSE |
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