Provider Demographics
NPI:1689822264
Name:FOXHOVEN, KAREN LORRINE (RD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LORRINE
Last Name:FOXHOVEN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 RAINBOW CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SEDALIA
Mailing Address - State:CO
Mailing Address - Zip Code:80135-8903
Mailing Address - Country:US
Mailing Address - Phone:303-973-6132
Mailing Address - Fax:
Practice Address - Street 1:6001 RAINBOW CREEK RD
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:CO
Practice Address - Zip Code:80135-8903
Practice Address - Country:US
Practice Address - Phone:303-973-6132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
CO133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO830360275Medicare UPIN