Provider Demographics
NPI:1366024911
Name:HAAKINSON, KARA (RD)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:HAAKINSON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:IMFELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:1687 E COUNTY ROAD 1100 N
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-8549
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1687 E COUNTY ROAD 1100 N
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-8549
Practice Address - Country:US
Practice Address - Phone:513-550-3339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered