Herndon, Karissa Suzanne

Herndon, Karissa Suzanne is an individual health care provider with primary practice located at 1101 Club Village Dr Suite 101, Columbia MO 65203-4410. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Herndon, Karissa Suzanne can be contacted via phone (573) 447-4400.

Contact Information

Primary practice address
1101 Club Village Dr Suite 101 Columbia MO 65203-4410
Phone: (573) 447-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2009005906 Missouri

Profile Details

NPI number 1083857841
LBN Legal business name Herndon, Karissa Suzanne
Credentials R.D., L.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2009
Last updated Apr 9th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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