Individual
KAREN DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 HOSPITAL DR # GE26, COLUMBIA, MO 65201-5276
(573) 882-2251
(573) 884-4990
Mailing address
1505 CUNNINGHAM RD, COLUMBIA, MO 65203-4717
(573) 882-2251
(573) 884-4990
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001025251
MO
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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