Provider Demographics
NPI:1649214792
Name:TURYBURY, KARI JOY (RD LD)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:JOY
Last Name:TURYBURY
Suffix:
Gender:F
Credentials:RD LD
Other - Prefix:MISS
Other - First Name:KARI
Other - Middle Name:JOY
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD LD
Mailing Address - Street 1:3850 PARK NICOLLET BLVD
Mailing Address - Street 2:FAMILY MEDICINE NUTRITION
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416
Mailing Address - Country:US
Mailing Address - Phone:952-993-0785
Mailing Address - Fax:
Practice Address - Street 1:3850 PARK NICOLLET BLVD
Practice Address - Street 2:FAMILY MEDICINE NUTRITION
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416
Practice Address - Country:US
Practice Address - Phone:952-993-0785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered