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NPI Code Detail

MEDICARE: MRS. KARI ANN IRONS R.D.

MEDICARE: MRS. KARI ANN IRONS R.D.
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
1133V00000XRegistered Dietitian995720CA

General Provider Information

NPI Number : 1639463219
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KARI ANN IRONS R.D.
Provider Business Mailing Address
First Line : 404 GRACE AVE
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-7152
Country : US
Telephone Number : 812-360-9875
Fax Number :
Provider Business Practice Location Address
First Line : 1577 LASKIN RD STE 105
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-6464
Country : US
Telephone Number : 757-422-4728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2011
Last Update Date : 08/09/2016

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