Amy D Kotansky in Indianapolis - Dietitian, Registered

Amy D Kotansky - NPI 1962413682

Amy D Kotansky is a Dietitian, Registered in Indianapolis, Indiana. Amy D Kotansky practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Amy D Kotansky is 1962413682. The last update date is 2023-08-18.

Amy D Kotansky's current location address is 5230 E Stop 11 Rd Ste 150, Indianapolis, Indiana. You can contact this provider via phone number 3178655904 and fax number 3178655321. The mailing address for Amy D Kotansky is 5230 E Stop 11 Rd Ste 150, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Amy D Kotansky
Address 5230 E Stop 11 Rd Ste 150, Indianapolis, Indiana
Phone Number 3178655904
Fax Number 3178655321
Sole Proprietor N
Credentials MS, RD, CD

NPI Number Detail

NPI Number 1962413682
Provider Enumeration Date 2006-08-10
Last Updated Date 2023-08-18

Provider Mailing Address Detail

Address 5230 E Stop 11 Rd Ste 150
City Indianapolis
State Indiana (IN)
Post Code 462376399
Phone Number 3178655904
Fax Number 3178655321

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 711259
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
37000390A IN LICENSE

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FAQs about Amy D Kotansky

What is the Amy D Kotansky's unique identification number?

The Amy D Kotansky has been assigned the NPI (National Provider Identifier) Number 1962413682 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Amy D Kotansky is physically located?

The Amy D Kotansky is situated at the following address: 5230 E Stop 11 Rd Ste 150, Indianapolis, IN 462376399.

What is the Amy D Kotansky's specialty and taxonomy code?

The Amy D Kotansky's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.

On what date did the Amy D Kotansky receive its 1962413682 assignment from the Centers for Medicare & Medicaid Services?

The Amy D Kotansky was assigned its 1962413682 by the Centers for Medicare & Medicaid Services on 2006-08-10.

When was the information pertaining to Amy D Kotansky most recently updated or revised?

The details related to Amy D Kotansky, including its address, specialty, and other relevant information, were last updated or revised on 2023-08-18.

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