Provider Demographics
NPI:1912065426
Name:AUBERT, KAREN G (RD, CDE, LDN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:G
Last Name:AUBERT
Suffix:
Gender:F
Credentials:RD, CDE, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 BELLOWS WAY
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-6333
Mailing Address - Country:US
Mailing Address - Phone:215-361-3759
Mailing Address - Fax:215-997-9409
Practice Address - Street 1:2321 N BROAD ST
Practice Address - Street 2:
Practice Address - City:COLMAR
Practice Address - State:PA
Practice Address - Zip Code:18915-9702
Practice Address - Country:US
Practice Address - Phone:215-997-3607
Practice Address - Fax:215-997-9409
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN001447133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA480420OtherUNITED HEALTH CARE
PA20765OtherHEALTH PARTNERS
PA3343660OtherAETNA USHC
PA480420OtherAETNA USHC
PA087186OtherKEYSTONE HEALTH PLAN EAST
PA3343660OtherAETNA USHC