Kathryn M Clark in San Diego - Dietitian, Registered
Kathryn M Clark - NPI 1992745954
Kathryn M Clark is a Dietitian, Registered in San Diego, California. Kathryn M Clark practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Kathryn M Clark is 1992745954. The last update date is 2008-10-02.
Kathryn M Clark's current location address is 221 Island Ave, San Diego, California. You can contact this provider via phone number 6192558855 and fax number 8588761944. The mailing address for Kathryn M Clark is 221 Island Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn M Clark |
|---|---|
| Address | 221 Island Ave, San Diego, California |
| Phone Number | 6192558855 |
| Fax Number | 8588761944 |
| Sole Proprietor | Y |
| Credentials | MPH, RD |
NPI Number Detail
| NPI Number | 1992745954 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2008-10-02 |
Provider Mailing Address Detail
| Address | 221 Island Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921016936 |
| Phone Number | 6192558855 |
| Fax Number | 8588761944 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
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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 identifier code issued to Kathryn M Clark by the Centers for Medicare & Medicaid Services?
The Kathryn M Clark has been assigned the NPI (National Provider Identifier) 1992745954 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Kathryn M Clark located?
The Kathryn M Clark is located at 221 Island Ave, San Diego, CA 921016936.
What is the Kathryn M Clark's area of specialization and corresponding taxonomy classification?
The Kathryn M Clark's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1992745954 to Kathryn M Clark?
The Kathryn M Clark received its 1992745954 assignment from the Centers for Medicare & Medicaid Services on 2006-06-07.
As of what date were the details related to Kathryn M Clark most recently updated or revised?
The information pertaining to Kathryn M Clark, including its address, specialty, and other relevant details, was last updated or revised on 2008-10-02.
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