Provider Demographics
NPI:1952555260
Name:MCWILLIAMS, KAREN LOREE (RDCDELMNT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:LOREE
Last Name:MCWILLIAMS
Suffix:
Gender:F
Credentials:RDCDELMNT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:LOREE
Other - Last Name:BENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2861 WAGON DRIVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68507
Mailing Address - Country:US
Mailing Address - Phone:402-880-7889
Mailing Address - Fax:
Practice Address - Street 1:2861 WAGON DRIVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68507
Practice Address - Country:US
Practice Address - Phone:402-880-7889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-13
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE17133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE17OtherNEBRASKA LICENSE. RD