Provider Demographics
NPI:1861661134
Name:AMBRECHT, KAREN KAY (RD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:KAY
Last Name:AMBRECHT
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 1:2513 SABRE CT
Mailing Address - Street 2:# A
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-1478
Mailing Address - Country:US
Mailing Address - Phone:530-222-1241
Mailing Address - Fax:530-222-1241
Practice Address - Street 1:2513 SABRE CT
Practice Address - Street 2:# A
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-1478
Practice Address - Country:US
Practice Address - Phone:530-222-1241
Practice Address - Fax:530-222-1241
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered