Jonathan R Poyourow in Fort Campbell - Dietitian, Registered

Jonathan R Poyourow - NPI 1902931421

Jonathan R Poyourow is a Dietitian, Registered in Fort Campbell, Kentucky. Jonathan R Poyourow practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Jonathan R Poyourow is 1902931421. The last update date is 2007-07-08.

Jonathan R Poyourow's current location address is 650 Joel Dr, Fort Campbell, Kentucky. You can contact this provider via phone number 2707988372 and fax number 2709560180. The mailing address for Jonathan R Poyourow is 650 Joel Dr, Fort Campbell, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan R Poyourow
Address 650 Joel Dr, Fort Campbell, Kentucky
Phone Number 2707988372
Fax Number 2709560180
Sole Proprietor N
Credentials R.D.

NPI Number Detail

NPI Number 1902931421
Provider Enumeration Date 2007-02-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 650 Joel Dr
City Fort Campbell
State Kentucky (KY)
Post Code 422235318
Phone Number 2707988372
Fax Number 2709560180

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No LD002888
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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FAQs about Jonathan R Poyourow

What is the unique 10-digit identification code issued to Jonathan R Poyourow by the Centers for Medicare & Medicaid Services?

The Jonathan R Poyourow has been assigned the NPI (National Provider Identifier) 1902931421 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Jonathan R Poyourow is geographically located?

The Jonathan R Poyourow is physically situated at the following location: 650 Joel Dr, Fort Campbell, KY, 422235318.

What is the area of specialization for Jonathan R Poyourow, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jonathan R Poyourow is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of expertise is 133V00000X.

When was the Jonathan R Poyourow's 1902931421 issued?

The Jonathan R Poyourow's 1902931421 was issued on 2007-02-23.

As of what date was the information pertaining to Jonathan R Poyourow, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jonathan R Poyourow, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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