Healthcare Provider Details

I. General information

NPI: 1609140649
Provider Name (Legal Business Name): KARNI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2012
Last Update Date: 03/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2376 SCENIC DR
SALT LAKE CITY UT
84109-1433
US

IV. Provider business mailing address

2376 SCENIC DR
SALT LAKE CITY UT
84109-1433
US

V. Phone/Fax

Practice location:
  • Phone: 801-574-5731
  • Fax: 801-487-5798
Mailing address:
  • Phone: 801-574-5731
  • Fax: 801-487-5798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number102951-4901
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number102951-4901
License Number StateUT
# 3
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number102951-4901
License Number StateUT

VIII. Authorized Official

Name: MS. KARMEEN D KULKARNI
Title or Position: PRESIDENT
Credential: RD
Phone: 801-574-5731