Healthcare Provider Details

I. General information

NPI: 1689822264
Provider Name (Legal Business Name): KAREN LORRINE FOXHOVEN R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2008
Last Update Date: 07/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 RAINBOW CREEK RD
SEDALIA CO
80135-8903
US

IV. Provider business mailing address

6001 RAINBOW CREEK RD
SEDALIA CO
80135-8903
US

V. Phone/Fax

Practice location:
  • Phone: 303-973-6132
  • Fax:
Mailing address:
  • Phone: 303-973-6132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: