Healthcare Provider Details

I. General information

NPI: 1285841718
Provider Name (Legal Business Name): KAREN MARY HUTCHERSON R.D., L.D.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 HAZELNUT CT
CHAPEL HILL NC
27516-7990
US

IV. Provider business mailing address

103 HAZELNUT CT
CHAPEL HILL NC
27516-7990
US

V. Phone/Fax

Practice location:
  • Phone: 919-370-3376
  • Fax: 919-933-2103
Mailing address:
  • Phone: 919-370-3376
  • Fax: 919-933-2103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL002867
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: