Provider Demographics
NPI:1902831936
Name:CHANEY, KAREN LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LEE
Last Name:CHANEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1614 X ST
Mailing Address - Street 2:STE. B
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-2334
Mailing Address - Country:US
Mailing Address - Phone:916-326-4466
Mailing Address - Fax:916-326-4469
Practice Address - Street 1:1614 X ST
Practice Address - Street 2:STE. B
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95818-2334
Practice Address - Country:US
Practice Address - Phone:916-326-4466
Practice Address - Fax:916-326-4469
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC16305111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT06094Medicare UPIN
CADC0163050Medicare ID - Type Unspecified