Karen Boomer RD LD CDE

NPI 1770703365 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1770703365
Gender Female
Enumeration Date 04/26/2007
Last Updated 09/09/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
601 S FLOYD ST
STE 403
LOUISVILLE KY, 40202-1837, US
Phone (502) 588-3400
Fax (502) 588-3401
Business Location
PO BOX 909
LOUISVILLE KY, 40201-0909, US
Phone (502) 588-3400
Fax (502) 588-3401
Toxanomy
Taxonomy Code 133V00000X
License State Kentucky
License Number K0440
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According to our database, Karen Boomer RD LD CDE NPI is 1770703365, taxonomy code is 133V00000X and license number is K0440, license state is located at Kentucky. Karen Boomer RD LD CDE physically located at 601 S Floyd St, Louisville KY, 40202-1837. NPI Number Karen Boomer RD LD CDE has the Individual type.

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1770703365 NPI number is provided on an as is basis without warranty of any kind. 1770703365 is maintained by the National Plan & Provider Enumeration System. The contents of Karen Boomer RD LD CDE are for informational purposes only.