Provider Demographics
NPI:1396282273
Name:THOMAS, KAREN (DHA, MS HNFM, RDH BS)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DHA, MS HNFM, RDH BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3004 MOUNT VERNON CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-7406
Mailing Address - Country:US
Mailing Address - Phone:919-961-2829
Mailing Address - Fax:
Practice Address - Street 1:3004 MOUNT VERNON CHURCH RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-7406
Practice Address - Country:US
Practice Address - Phone:919-961-2829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-30
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5793124Q00000X
133NN1002X, 133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No124Q00000XDental ProvidersDental Hygienist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education