Provider Demographics
NPI:1417309352
Name:ANDREW, KARA (RD, LDN, EP-C)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:ANDREW
Suffix:
Gender:F
Credentials:RD, LDN, EP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 WALNUT HILLS DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-7801
Mailing Address - Country:US
Mailing Address - Phone:615-525-0111
Mailing Address - Fax:
Practice Address - Street 1:6700 WALNUT HILLS DR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-7801
Practice Address - Country:US
Practice Address - Phone:615-525-0111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-04
Last Update Date:2016-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLDN0000002947133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered