Provider Demographics
NPI:1730196221
Name:SWOPE, KAREN SUE (AUD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:SUE
Last Name:SWOPE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3419 W 7TH ST
Mailing Address - Street 2:C
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-5160
Mailing Address - Country:US
Mailing Address - Phone:970-381-0034
Mailing Address - Fax:
Practice Address - Street 1:2528 W 16TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-4955
Practice Address - Country:US
Practice Address - Phone:970-352-2881
Practice Address - Fax:970-352-5323
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CON/A231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07104193Medicaid
CO2923Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER