NPI 1760499321 · live from the CMS NPI Registry
Karen Berridge
Dietitian, Registered in Detroit, MI. National Provider Identifier 1760499321, active.
NPI record
| NPI | 1760499321 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4646 John R St, Detroit, MI 48201 |
| Practice phone | 313-576-1000 |
| Enumerated | August 3, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | R871749 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.