Doctor Name: | KARI R BLASIUS |
NPI Number: | 1275553554 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDLNCDE |
License Number: | 007 |
Business Practice Address: | 1000 Health Center Road Kyle, SD - 577520540 |
Business Phone Number: | 6054558236 |
Business Fax Number: | 6054552808 |
Mailing Address: | 1000 Health Center Road, KYLE |
State: | SD |
Postal Code: | 577520540 |
Phone Number: | 6054552451 |
Fax Number: | 6054552808 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 08/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1006X |
License Number: | 007 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Metabolic |
Taxonomy Definition: |