Provider Demographics
NPI:1528486412
Name:ZELTZER, KAREN ANN (RD)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ANN
Last Name:ZELTZER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:ANN
Other - Last Name:RITTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:75 CHACHAPACASSETT RD.
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806
Mailing Address - Country:US
Mailing Address - Phone:401-245-7540
Mailing Address - Fax:
Practice Address - Street 1:75 CHACHAPACASSETT RD.
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806
Practice Address - Country:US
Practice Address - Phone:401-245-7540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-28
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI154133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered