Provider Demographics
NPI:1649989708
Name:ADLER, KARIN (RDN, LDN, CNSC)
Entity type:Individual
Prefix:MS
First Name:KARIN
Middle Name:
Last Name:ADLER
Suffix:
Gender:F
Credentials:RDN, LDN, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 OUTER DR
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-4066
Mailing Address - Country:US
Mailing Address - Phone:865-216-4338
Mailing Address - Fax:
Practice Address - Street 1:59 OUTER DR
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-4066
Practice Address - Country:US
Practice Address - Phone:865-216-4338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLDN0000002053133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNLDN0000002053OtherBOARD OF DIETITIAN/NUTRITIONIST EXAMINERS