Provider Demographics
NPI:1053602862
Name:JOSIAH, KAREN ONIKA (MS RD LD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ONIKA
Last Name:JOSIAH
Suffix:
Gender:F
Credentials:MS RD LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10916 N OXFORD AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64157-9593
Mailing Address - Country:US
Mailing Address - Phone:816-222-4820
Mailing Address - Fax:
Practice Address - Street 1:10916 N OXFORD AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64157-9593
Practice Address - Country:US
Practice Address - Phone:816-222-4820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006002607133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered