Provider Demographics
NPI:1639228737
Name:GARNER, KARI J (RD, LDN)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:J
Last Name:GARNER
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:J
Other - Last Name:POWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1009 CROOKED OAK RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-6226
Mailing Address - Country:US
Mailing Address - Phone:843-564-2480
Mailing Address - Fax:
Practice Address - Street 1:1009 CROOKED OAK RD
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-6226
Practice Address - Country:US
Practice Address - Phone:843-564-2480
Practice Address - Fax:843-564-9004
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL0022901133V00000X
SC2029133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC826Medicaid