Kwin Roberts Black in Norman - Dietitian, Registered
Kwin Roberts Black - NPI 1316009541
Kwin Roberts Black is a Dietitian, Registered in Norman, Arkansas. Kwin Roberts Black practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Kwin Roberts Black is 1316009541. The last update date is 2007-07-09.
Kwin Roberts Black's current location address is 155 Lilly Mountain Ln, Norman, Arkansas. You can contact this provider via phone number 8703342762 and fax number 8703342762. The mailing address for Kwin Roberts Black is 155 Lilly Mountain Ln, Norman, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kwin Roberts Black |
|---|---|
| Address | 155 Lilly Mountain Ln, Norman, Arkansas |
| Phone Number | 8703342762 |
| Fax Number | 8703342762 |
| Sole Proprietor | N |
| Credentials | R.D. |
NPI Number Detail
| NPI Number | 1316009541 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 155 Lilly Mountain Ln |
|---|---|
| City | Norman |
| State | Arkansas (AR) |
| Post Code | 719608530 |
| Phone Number | 8703342762 |
| Fax Number | 8703342762 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 812 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique 10-digit identification code assigned to Kwin Roberts Black by the Centers for Medicare & Medicaid Services?
The Kwin Roberts Black has been issued the NPI (National Provider Identifier) 1316009541, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kwin Roberts Black's facilities are situated?
The facilities of Kwin Roberts Black are physically located at the following address: 155 Lilly Mountain Ln, Norman, AR, 719608530.
What is the Kwin Roberts Black's area of specialization and corresponding taxonomy classification?
The Kwin Roberts Black's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.
When did the Kwin Roberts Black receive its 1316009541?
The Kwin Roberts Black was issued its 1316009541 on 2006-12-14, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Kwin Roberts Black, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kwin Roberts Black, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.
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