Karen Dean, RD

Individual provider Active NPI Registered Dietitian · N Providence, RI

NPI 1770919375 · NPPES record last updated Sep 16, 2013

Key facts

NPI
1770919375
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
LDN00020 (RI)
Practice address
200 High Service Ave
N Providence, RI 02904-5113
Phone
(401) 456-3193
NPI assigned
Sep 16, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LDN00020 RI Yes

Addresses

Primary practice location

200 High Service Ave
N Providence, RI 02904-5113

Mailing address

825 Chalkstone Ave
N. Campus Business Office, Attn: R. Soares
Providence, RI 02908-4728
Phone (401) 456-2525

Other identifiers

IdentifierTypeStateIssuer
LDN00020OtherRILICENSE NUMBER

Other providers in N Providence, RI

All providers in N Providence, RI · Registered Dietitian in Rhode Island

Sources for this page

Verify at the official NPI Registry.