Healthcare Provider Details

I. General information

NPI: 1932146479
Provider Name (Legal Business Name): KAREN R ALLWEIN RD, LDN, CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN LOUISE RIDER

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 06/15/2021
Certification Date: 06/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 WASHINGTON ST
HARRISBURG PA
17104-1675
US

IV. Provider business mailing address

409 S 2ND ST SUITE 2F
HARRISBURG PA
17104-1612
US

V. Phone/Fax

Practice location:
  • Phone: 717-221-6258
  • Fax: 717-221-6266
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberDN000065
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN000065
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: