NPI 1003423625

Kenrese Theresa Carter, MSCNSLDN

Practitioner Nutritionist Lexington Park, MD

Practice location

Address: 46088 Saltmarsh CT, Lexington Park, MD 20653-2879
Phone: (404) 397-3009
Mailing address: 4344 Fawn Ln SE, Smyrna, GA 30082-3951

Registered specialties (3)

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence DX5094 (MD)

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Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence ND14157 (FL)

Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 164012155 (IL)

Registry record

NPI: 1003423625
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Sep 2020
Record last updated: 15 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.