Provider Demographics
NPI:1750526307
Name:HARDING, KARRI ANNE (RD, LD)
Entity type:Individual
Prefix:
First Name:KARRI
Middle Name:ANNE
Last Name:HARDING
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:KARRI
Other - Middle Name:ANNE
Other - Last Name:GAYDOVCHIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LD
Mailing Address - Street 1:169 GREENWAY LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-8617
Mailing Address - Country:US
Mailing Address - Phone:606-205-1132
Mailing Address - Fax:
Practice Address - Street 1:169 GREENWAY LN
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-8617
Practice Address - Country:US
Practice Address - Phone:606-205-1132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY1269133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered