Provider Demographics
NPI:1346277720
Name:ANTHONY, KARA L (MS, RD, LDN, CDE)
Entity Type:Individual
Prefix:MISS
First Name:KARA
Middle Name:L
Last Name:ANTHONY
Suffix:
Gender:F
Credentials:MS, RD, LDN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:384 TURKEYFOOT RD
Mailing Address - Street 2:
Mailing Address - City:VENETIA
Mailing Address - State:PA
Mailing Address - Zip Code:15367-1147
Mailing Address - Country:US
Mailing Address - Phone:412-833-7086
Mailing Address - Fax:412-835-9085
Practice Address - Street 1:1200 MCKEAN AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:CHARLEROI
Practice Address - State:PA
Practice Address - Zip Code:15022-2141
Practice Address - Country:US
Practice Address - Phone:724-489-0866
Practice Address - Fax:724-489-1306
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA000280133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered