Provider Demographics
NPI:1750495909
Name:SERMERSHEIM, KAREN (RD,LD)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:SERMERSHEIM
Suffix:
Gender:F
Credentials:RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2623 OCOSTA AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-7812
Mailing Address - Country:US
Mailing Address - Phone:513-661-9009
Mailing Address - Fax:
Practice Address - Street 1:2623 OCOSTA AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-7812
Practice Address - Country:US
Practice Address - Phone:513-661-9009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5440133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered