Provider Demographics
NPI:1013433895
Name:UTHUS, KAREN (MS, CNS, LDN)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:UTHUS
Suffix:
Gender:F
Credentials:MS, CNS, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 DEEP CREEK AVE
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-1741
Mailing Address - Country:US
Mailing Address - Phone:410-757-6821
Mailing Address - Fax:
Practice Address - Street 1:1002 DEEP CREEK AVE
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-1741
Practice Address - Country:US
Practice Address - Phone:410-757-6821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX3988133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist