Provider Demographics
NPI:1730391228
Name:SZYMANSKI, KAREN DENISE (DO, MPT, FACOS)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:DENISE
Last Name:SZYMANSKI
Suffix:
Gender:F
Credentials:DO, MPT, FACOS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2806 WOOTEN BLVD SW STE B
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-8624
Mailing Address - Country:US
Mailing Address - Phone:252-299-2910
Mailing Address - Fax:970-293-5677
Practice Address - Street 1:2806 WOOTEN BLVD SW STE B
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-8624
Practice Address - Country:US
Practice Address - Phone:252-299-2910
Practice Address - Fax:970-293-5677
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2019-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101017045208600000X
MI5501013003225100000X
NC2017-00894208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5501013003OtherPHYSICAL THERAPY
NC1730391228Medicaid
MI5101017045OtherOSTEOPATHIC - EDUCATIONAL
MI5315028028OtherCS - 1
NCPO1943056OtherRAILROAD MEDICARE
NC19SFJOtherBCBS
NCNCY711AOtherMEDICARE PART B