Provider Demographics
NPI:1699950436
Name:REAM, KARA JEAN (RDLD)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:JEAN
Last Name:REAM
Suffix:
Gender:F
Credentials:RDLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1641 N LAKE CT
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1351
Mailing Address - Country:US
Mailing Address - Phone:419-425-1510
Mailing Address - Fax:
Practice Address - Street 1:1641 N LAKE CT
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1351
Practice Address - Country:US
Practice Address - Phone:419-425-1510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-28
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH914411133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHLD5182OtherOHIO BOARD OF DIETETICS