Provider Demographics
NPI:1336719012
Name:RAMS-HARMON, KEREN
Entity type:Individual
Prefix:
First Name:KEREN
Middle Name:
Last Name:RAMS-HARMON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SELBYVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19975-7518
Mailing Address - Country:US
Mailing Address - Phone:302-381-7322
Mailing Address - Fax:
Practice Address - Street 1:101 WELLNESS WAY
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-4394
Practice Address - Country:US
Practice Address - Phone:302-430-5454
Practice Address - Fax:302-430-5730
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX5316133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered