Provider Demographics
NPI:1295596898
Name:MCIVER, KARA B (RDN)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:B
Last Name:MCIVER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 ROLLING GREEN DR APT B4
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2871
Mailing Address - Country:US
Mailing Address - Phone:219-798-6426
Mailing Address - Fax:
Practice Address - Street 1:426 STOVER ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2931
Practice Address - Country:US
Practice Address - Phone:219-798-6426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered