Healthcare Provider Details

I. General information

NPI: 1376798504
Provider Name (Legal Business Name): KAREN L KUZMA RD, LMNT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2008
Last Update Date: 06/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5010 O STREET HY-VEE
LINCOLN NE
68510
US

IV. Provider business mailing address

5010 O STREET HY-VEE
LINCOLN NE
68510
US

V. Phone/Fax

Practice location:
  • Phone: 402-314-6704
  • Fax: 402-483-7796
Mailing address:
  • Phone: 402-314-6704
  • Fax: 402-483-7796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number897
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberREGISTRATION #965414
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: