Karen Carlson Genson, R.D.

Individual provider Active NPI Registered Dietitian · Ludington, MI

NPI 1043374325 · NPPES record last updated Dec 10, 2008

Key facts

NPI
1043374325
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
37000312A (IN)
Practice address
1 N Atkinson Dr
Ludington, MI 49431-1906
Phone
(231) 845-2369
Fax
(231) 845-1732
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
37000312AINMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 37000312A IN Yes

Addresses

Primary practice location

1 N Atkinson Dr
Ludington, MI 49431-1906

Mailing address

1 N Atkinson Dr
Ludington, MI 49431-1906
Phone (231) 845-2369

Other providers in Ludington, MI

All providers in Ludington, MI · Registered Dietitian in Michigan

Sources for this page

Verify at the official NPI Registry.