Provider Demographics
NPI:1164454856
Name:HUEY, KARLA KLEEMAN (RD)
Entity Type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:KLEEMAN
Last Name:HUEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MISS
Other - First Name:KARLA
Other - Middle Name:RENEE
Other - Last Name:KLEEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:205 SERGEANT AVE
Mailing Address - Street 2:
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-2327
Mailing Address - Country:US
Mailing Address - Phone:859-441-9127
Mailing Address - Fax:
Practice Address - Street 1:3200 VINE ST
Practice Address - Street 2:NUTRITION & FOOD SERVICE, 120
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2213
Practice Address - Country:US
Practice Address - Phone:513-861-3100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1295133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered