Doctor Name: | MRS. KAREN M FUNDERBURG |
NPI Number: | 1679566566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD/LD |
License Number: | LD 190 |
Business Practice Address: | 5601 Nw 72nd St Ste 232 Warr Acres, OK - 731325931 |
Business Phone Number: | 4056031941 |
Business Fax Number: | 4056031942 |
Mailing Address: | 5601 Nw 72nd St, Ste 232 WARR ACRES |
State: | OK |
Postal Code: | 731325931 |
Phone Number: | 4056031941 |
Fax Number: | 4056031942 |
NPI Enumeration Date: | 08/25/2005 |
NPI Last Update Date: | 04/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD 190 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |