Karen Eileen Brunk

Individual provider Active NPI Licensed Practical Nurse · Blanchester, OH

NPI 1346855723 · NPPES record last updated Sep 11, 2020

Key facts

NPI
1346855723
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN106226MEDS (OH)
Practice address
316 Lazenby St
Blanchester, OH 45107-1132
Phone
(937) 783-9434
NPI assigned
Sep 11, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LPN106226MEDSOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN106226MEDS OH Yes

Addresses

Primary practice location

316 Lazenby St
Blanchester, OH 45107-1132

Mailing address

316 Lazenby St
Blanchester, OH 45107-1132

Other providers in Blanchester, OH

All providers in Blanchester, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.