Provider Demographics
NPI:1194556332
Name:OKEEFE, KAREN RENEE (RDN, LD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:RENEE
Last Name:OKEEFE
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 MAIN ST STE 202
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114-4918
Mailing Address - Country:US
Mailing Address - Phone:501-621-2442
Mailing Address - Fax:501-687-5234
Practice Address - Street 1:301 MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-4918
Practice Address - Country:US
Practice Address - Phone:501-621-2442
Practice Address - Fax:501-687-5234
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2533133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered