Provider Demographics
NPI:1902922859
Name:PFOHL, KAREN M (RD, CDE)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:M
Last Name:PFOHL
Suffix:
Gender:F
Credentials:RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 MOUNT SHEPHERD RD
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27205-7170
Mailing Address - Country:US
Mailing Address - Phone:336-625-6182
Mailing Address - Fax:336-625-9500
Practice Address - Street 1:208 FOUST ST STE D
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5574
Practice Address - Country:US
Practice Address - Phone:336-625-9400
Practice Address - Fax:336-625-9500
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL001702133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1419YOtherBC BS OF NORTH CAROLINA
NC1419YOtherBC BS OF NORTH CAROLINA