Provider Demographics
NPI:1457885998
Name:MAY, KAREN ANNE (RD; LDN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANNE
Last Name:MAY
Suffix:
Gender:F
Credentials:RD; LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 VARNUM AVE
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01854-1131
Mailing Address - Country:US
Mailing Address - Phone:978-427-6810
Mailing Address - Fax:
Practice Address - Street 1:1081 VARNUM AVE
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-1131
Practice Address - Country:US
Practice Address - Phone:978-427-6810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1374133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered