Provider Demographics
NPI:1538413224
Name:MCMILLION, KAREN S
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:S
Last Name:MCMILLION
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 1:103 KIMBERWICKE CT
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-4781
Mailing Address - Country:US
Mailing Address - Phone:724-591-8996
Mailing Address - Fax:724-591-8774
Practice Address - Street 1:103 KIMBERWICKE CT
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-4781
Practice Address - Country:US
Practice Address - Phone:724-591-8996
Practice Address - Fax:724-591-8774
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist