Provider Demographics
NPI:1003824269
Name:MOEHRING, KARYN EVELYN (MA, RDN, CD)
Entity Type:Individual
Prefix:MRS
First Name:KARYN
Middle Name:EVELYN
Last Name:MOEHRING
Suffix:
Gender:F
Credentials:MA, RDN, CD
Other - Prefix:
Other - First Name:KARYN
Other - Middle Name:EVELYN
Other - Last Name:MUELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34 SCHROEDER CT
Mailing Address - Street 2:SUITE 230
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-2526
Mailing Address - Country:US
Mailing Address - Phone:608-467-3473
Mailing Address - Fax:608-831-5319
Practice Address - Street 1:34 SCHROEDER CT
Practice Address - Street 2:SUITE 230
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53711-2526
Practice Address - Country:US
Practice Address - Phone:608-467-3473
Practice Address - Fax:608-831-5319
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1680-029133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered