Provider Demographics
NPI:1144720962
Name:GOLIGHTLY, KARLEE (RD, RYT)
Entity type:Individual
Prefix:
First Name:KARLEE
Middle Name:
Last Name:GOLIGHTLY
Suffix:
Gender:F
Credentials:RD, RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9745 E HAMPDEN AVE
Mailing Address - Street 2:STE 302B
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4940
Mailing Address - Country:US
Mailing Address - Phone:781-689-0470
Mailing Address - Fax:720-306-5440
Practice Address - Street 1:9745 E HAMPDEN AVE
Practice Address - Street 2:STE 302B
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4940
Practice Address - Country:US
Practice Address - Phone:781-689-0470
Practice Address - Fax:720-306-5440
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-19
Last Update Date:2020-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO86011263133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty