Healthcare Provider Details

I. General information

NPI: 1174909774
Provider Name (Legal Business Name): KAREN A MOLNAR RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2015
Last Update Date: 05/11/2021
Certification Date: 05/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 SW CARY PKWY STE 200
CARY NC
27511-6224
US

IV. Provider business mailing address

2000 PERIMETER PARK DR STE 200
MORRISVILLE NC
27560-8442
US

V. Phone/Fax

Practice location:
  • Phone: 919-387-3176
  • Fax: 919-387-3244
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL004659
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: