Provider Demographics
NPI:1902663743
Name:CALVELAGE, KAREN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:CALVELAGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19382 ROAD 13S
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS GROVE
Mailing Address - State:OH
Mailing Address - Zip Code:45830-9233
Mailing Address - Country:US
Mailing Address - Phone:419-230-5544
Mailing Address - Fax:
Practice Address - Street 1:19382 ROAD 13S
Practice Address - Street 2:
Practice Address - City:COLUMBUS GROVE
Practice Address - State:OH
Practice Address - Zip Code:45830-9233
Practice Address - Country:US
Practice Address - Phone:419-230-5544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide