Provider Demographics
NPI:1750325387
Name:GLADNEY, KAREN (MS,RD,LDN,CDOE)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:GLADNEY
Suffix:
Gender:F
Credentials:MS,RD,LDN,CDOE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 PINETOP RD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-1706
Mailing Address - Country:US
Mailing Address - Phone:401-246-0582
Mailing Address - Fax:401-289-2129
Practice Address - Street 1:22 PINE TOP RD
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-1706
Practice Address - Country:US
Practice Address - Phone:401-246-0582
Practice Address - Fax:401-289-2129
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILDN00390133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI63-00097OtherUNITED HEALTHCARE
RI25860-5OtherBC/BS OF RI
RI404202OtherBLUE CHIP OF RI