Provider Demographics
NPI:1376798504
Name:KUZMA, KAREN L (RD, LMNT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:L
Last Name:KUZMA
Suffix:
Gender:F
Credentials:RD, LMNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 O STREET
Mailing Address - Street 2:HY-VEE
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510
Mailing Address - Country:US
Mailing Address - Phone:402-314-6704
Mailing Address - Fax:402-483-7796
Practice Address - Street 1:5010 O STREET
Practice Address - Street 2:HY-VEE
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510
Practice Address - Country:US
Practice Address - Phone:402-314-6704
Practice Address - Fax:402-483-7796
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE897133V00000X
NEREGISTRATION #965414133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered