Provider Demographics
NPI:1043282650
Name:KARP, KIMBERLY ANNE (RD, LD, CDE)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:ANNE
Last Name:KARP
Suffix:
Gender:F
Credentials:RD, LD, CDE
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:A
Other - Last Name:MCILVEEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:GEMCARE WELLNESS
Mailing Address - Street 2:5640 HUDSON INDUSTRIAL PKWY
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236
Mailing Address - Country:US
Mailing Address - Phone:330-331-9509
Mailing Address - Fax:330-331-9509
Practice Address - Street 1:GEMCARE WELLNESS
Practice Address - Street 2:5640 HUDSON INDUSTRIAL PKWY
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236
Practice Address - Country:US
Practice Address - Phone:330-331-9509
Practice Address - Fax:330-331-9509
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD-5728133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered