Jill Beth Davies-Kern in Green Bay - Nutrition

Jill Beth Davies-Kern - NPI 1902935166

Jill Beth Davies-Kern is a Nutrition in Green Bay, Wisconsin. Jill Beth Davies-Kern practices all healthcare services and medical treatments related to Nutrition. The NPI Number for Jill Beth Davies-Kern is 1902935166. The last update date is 2007-07-08.

Jill Beth Davies-Kern's current location address is 709 S Oneida St, Green Bay, Wisconsin. You can contact this provider via phone number 9204051010. The mailing address for Jill Beth Davies-Kern is 709 S Oneida St, Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Jill Beth Davies-Kern
Address 709 S Oneida St, Green Bay, Wisconsin
Phone Number 9204051010
Fax Number
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1902935166
Provider Enumeration Date 2007-03-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 709 S Oneida St
City Green Bay
State Wisconsin (WI)
Post Code 543042475
Phone Number 9204051010
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nutrition
Taxonomy 111Nn1001X
Licence No 1841-012
Definition:
Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
680625764016 WI ANTHEM BLUE CROSS BLUE SH

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FAQs about Jill Beth Davies-Kern

What is the Jill Beth Davies-Kern's unique identification number?

The Jill Beth Davies-Kern has been assigned the NPI (National Provider Identifier) Number 1902935166 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Jill Beth Davies-Kern?

The Jill Beth Davies-Kern is physically situated at 709 S Oneida St, in the city of Green Bay, state of WI, with the postal code 543042475.

What is Jill Beth Davies-Kern's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jill Beth Davies-Kern is Nutrition, and the taxonomy classification code that categorizes this area of expertise is 111Nn1001X.

On what date did the Jill Beth Davies-Kern receive the assignment of its 1902935166 from the Centers for Medicare & Medicaid Services?

The Jill Beth Davies-Kern was issued its 1902935166 by the Centers for Medicare & Medicaid Services on 2007-03-05.

As of what date were the details pertaining to Jill Beth Davies-Kern last refreshed?

The information related to the Jill Beth Davies-Kern, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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