Healthcare Provider Details

I. General information

NPI: 1346277720
Provider Name (Legal Business Name): KARA L ANTHONY MS, RD, LDN, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 MCKEAN AVE SUITE 105
CHARLEROI PA
15022-2141
US

IV. Provider business mailing address

384 TURKEYFOOT RD
VENETIA PA
15367-1147
US

V. Phone/Fax

Practice location:
  • Phone: 724-489-0866
  • Fax: 724-489-1306
Mailing address:
  • Phone: 412-833-7086
  • Fax: 412-835-9085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number000280
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: