NPI 1265641021 · live from the CMS NPI Registry
Karen Marie Birkholz, R.D.
Dietitian, Registered in Paynesville, MN. National Provider Identifier 1265641021, active.
NPI record
| NPI | 1265641021 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 19512 Rosemary Ct., Paynesville, MN 56362 |
| Practice phone | 320-597-4643 |
| Mailing address | 19512 Rosemary Ct, Paynesville, MN 56362 |
| Enumerated | May 21, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2595 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.