Christine B Kavanagh in Williamsport - Dietitian, Registered

Christine B Kavanagh - NPI 1518172295

Christine B Kavanagh is a Dietitian, Registered in Williamsport, Pennsylvania. Christine B Kavanagh practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Christine B Kavanagh is 1518172295. The last update date is 2007-07-08.

Christine B Kavanagh's current location address is 1616 Walnut St, Williamsport, Pennsylvania. You can contact this provider via phone number 5703211831 and fax number 5703211824. The mailing address for Christine B Kavanagh is 1616 Walnut St, Williamsport, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Christine B Kavanagh
Address 1616 Walnut St, Williamsport, Pennsylvania
Phone Number 5703211831
Fax Number 5703211824
Sole Proprietor N
Credentials CRNP

NPI Number Detail

NPI Number 1518172295
Provider Enumeration Date 2007-05-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1616 Walnut St
City Williamsport
State Pennsylvania (PA)
Post Code 177012060
Phone Number 5703211831
Fax Number 5703211824

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No DN003091
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
SP-008251 PA STATE LICENSE

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FAQs about Christine B Kavanagh

What is the unique provider identifier assigned to Christine B Kavanagh?

The Christine B Kavanagh has been issued the NPI (National Provider Identifier) 1518172295 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Christine B Kavanagh is located?

The Christine B Kavanagh is situated at the following address: 1616 Walnut St, Williamsport, PA, 177012060.

What is Christine B Kavanagh's specialized field of practice, and what is the corresponding taxonomy classification code?

The Christine B Kavanagh's area of specialization is Dietitian, Registered, and the corresponding taxonomy code that categorizes this field of practice is 133V00000X.

When was the Christine B Kavanagh's 1518172295 issued?

The Christine B Kavanagh's 1518172295 was issued on 2007-05-14.

As of what date was the information pertaining to Christine B Kavanagh, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

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

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