| Doctor Name: | KAREN DIANE DONALDSON |
| NPI Number: | 1699705087 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., R.D., L.D. |
| License Number: | D-479 |
| Business Practice Address: | 611 Wilson Ave Suite 8 Pocatello, ID - 832015046 |
| Business Phone Number: | 2082330593 |
| Business Fax Number: | 2084782543 |
| Mailing Address: | 2262 Cassia St, POCATELLO |
| State: | ID |
| Postal Code: | 832012060 |
| Phone Number: | 2084068120 |
| Fax Number: | 2084782543 |
| NPI Enumeration Date: | 07/03/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | D-479 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| 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 |