Dr Karen Canulla, MD | |
1101 Jackson St Sw, Gravette, AR 72736-9121 | |
(479) 787-5291 | |
(479) 344-6865 |
Full Name | Dr Karen Canulla |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1101 Jackson St Sw, Gravette, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477758530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 36948 (Arizona) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | E-12245 (Arkansas) | Primary |
Entity Name | Behavioral Medicine Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356406276 PECOS PAC ID: 3779484274 Enrollment ID: O20040116001073 |
Entity Name | Sgoh Acquisition Inc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20081016000559 |
Entity Name | Reding & Leach Md Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245723584 PECOS PAC ID: 7012258627 Enrollment ID: O20190409001382 |
Entity Name | Sgoh Acquisition Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20190905000100 |
Mailing Address | Practice Location Address |
---|---|
Dr Karen Canulla, MD 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5291 | Dr Karen Canulla, MD 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5291 |
Dr. Lloyd Layton Spencer, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5291 Fax: 479-344-6720 |