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NPI Code Detail

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

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
1124Q00000XDental Hygienist5793NC
2133NN1002XNutrition Education Nutritionist
3133N00000XNutritionist

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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