Provider Demographics
NPI:1548280159
Name:BABCOCK, KAREN RUTH (MD)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:RUTH
Last Name:BABCOCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 BEVERLY HANKS CENTRE
Mailing Address - Street 2:
Mailing Address - City:HENDERONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-2305
Mailing Address - Country:US
Mailing Address - Phone:828-693-3296
Mailing Address - Fax:828-696-3530
Practice Address - Street 1:600 BEVERLY HANKS CENTRE
Practice Address - Street 2:
Practice Address - City:HENDERONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-2305
Practice Address - Country:US
Practice Address - Phone:828-693-3296
Practice Address - Fax:828-696-3530
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD431671208000000X
NJMA61530208000000X
NC2019-02224208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
G26595Medicare UPIN
PA867652Medicare PIN