Doctor Name: | KAREN S WILKINSON |
NPI Number: | 1275569295 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,RD,LD,CD |
License Number: | LD 2341 |
Business Practice Address: | 4210 Flagstaff Cv Fort Wayne, IN - 468154417 |
Business Phone Number: | 2604899009 |
Business Fax Number: | 2604895057 |
Mailing Address: | 4210 Flagstaff Cv, FORT WAYNE |
State: | IN |
Postal Code: | 468154417 |
Phone Number: | 2604899009 |
Fax Number: | 2604895057 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD 2341 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |