Provider Demographics
NPI:1285841718
Name:HUTCHERSON, KAREN MARY (RD, LDN)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:MARY
Last Name:HUTCHERSON
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 HAZELNUT CT
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-7990
Mailing Address - Country:US
Mailing Address - Phone:919-370-3376
Mailing Address - Fax:919-933-2103
Practice Address - Street 1:103 HAZELNUT CT
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-7990
Practice Address - Country:US
Practice Address - Phone:919-370-3376
Practice Address - Fax:919-933-2103
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL002867133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered