Provider Demographics
NPI:1124336334
Name:KAVARS, ANNE M (RDN, LD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:KAVARS
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:M
Other - Last Name:BARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, LD
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1007
Mailing Address - Country:US
Mailing Address - Phone:319-353-7553
Mailing Address - Fax:319-356-8674
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1007
Practice Address - Country:US
Practice Address - Phone:319-353-7553
Practice Address - Fax:319-356-8674
Is Sole Proprietor?:No
Enumeration Date:2010-09-22
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001942133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered