Provider Demographics
NPI:1487872834
Name:RADFORD, KAREN (RN BSN)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:RADFORD
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7082 MAYNARD PL
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-8879
Mailing Address - Country:US
Mailing Address - Phone:614-425-3841
Mailing Address - Fax:614-933-9363
Practice Address - Street 1:7082 MAYNARD PL
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-8879
Practice Address - Country:US
Practice Address - Phone:614-425-3841
Practice Address - Fax:614-933-9363
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN. 289596163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2235503OtherINDEPENDANT PROVIDER ID
OH2235503Medicare UPIN