Provider Demographics
NPI:1053138321
Name:CAMERY, KARI
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:CAMERY
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 1:5860 N 750 E
Mailing Address - Street 2:
Mailing Address - City:HAMLET
Mailing Address - State:IN
Mailing Address - Zip Code:46532-9580
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5860 N 750 E
Practice Address - Street 2:
Practice Address - City:HAMLET
Practice Address - State:IN
Practice Address - Zip Code:46532-9580
Practice Address - Country:US
Practice Address - Phone:574-867-2711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-26
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool