NPI 1083857841

Karissa Suzanne Herndon, RDLD

Practitioner Registered Dietitian Columbia, MO

Practice location

Address: 1101 Club Village Dr Suite 101, Columbia, MO 65203-4410
Phone: (573) 447-4400
Mailing address: 6025 S Highway Kk, Columbia, MO 65203-9475

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 2009005906 (MO)

Other Dietitian, Registered providers in Missouri →

Registry record

NPI: 1083857841
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2009
Record last updated: 9 Apr 2009

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.