MEDICARE: DR. KAREN THOMAS DHA, MS HNFM, RDH BS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	5793	NC
2	133NN1002X	Nutrition Education Nutritionist
3	133N00000X	Nutritionist

General Provider Information

NPI Number	:	1396282273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN THOMAS DHA, MS HNFM, RDH BS

Provider Business Mailing Address
First Line	:	3004 MOUNT VERNON CHURCH RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-7406
Country	:	US
Telephone Number	:	919-961-2829
Fax Number	:

Provider Business Practice Location Address
First Line	:	3004 MOUNT VERNON CHURCH RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-7406
Country	:	US
Telephone Number	:	919-961-2829
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2017
Last Update Date	:	04/06/2025

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