Provider Demographics
NPI:1346876083
Name:INTEMANN, KARI (RD CDE)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:INTEMANN
Suffix:
Gender:F
Credentials:RD CDE
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4976 ALPHA LN
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-5470
Mailing Address - Country:US
Mailing Address - Phone:423-497-5355
Mailing Address - Fax:423-308-0281
Practice Address - Street 1:1726 GUNBARREL RD STE 100
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-4753
Practice Address - Country:US
Practice Address - Phone:423-954-9010
Practice Address - Fax:423-510-8561
Is Sole Proprietor?:No
Enumeration Date:2020-03-13
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3100133V00000X, 133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered