Jennette R Kilgrow in Provo - Dietitian, Registered

Jennette R Kilgrow - NPI 1871535682

Jennette R Kilgrow is a Dietitian, Registered in Provo, Utah. Jennette R Kilgrow practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Jennette R Kilgrow is 1871535682. The last update date is 2007-07-08.

Jennette R Kilgrow's current location address is 1034 N 500 W, Provo, Utah. You can contact this provider via phone number 8013757850 and fax number 8013577997. The mailing address for Jennette R Kilgrow is 1034 N 500 W, Provo, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennette R Kilgrow
Address 1034 N 500 W, Provo, Utah
Phone Number 8013757850
Fax Number 8013577997
Sole Proprietor N
Credentials DIETITIAN

NPI Number Detail

NPI Number 1871535682
Provider Enumeration Date 2006-06-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1034 N 500 W
City Provo
State Utah (UT)
Post Code 846043380
Phone Number 8013757850
Fax Number 8013577997

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 61611334901
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
61611334901 UT UTAH STATE LICENSE NO

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FAQs about Jennette R Kilgrow

What is the unique 10-digit identifier code assigned to Jennette R Kilgrow by the Centers for Medicare & Medicaid Services?

The Jennette R Kilgrow has been issued the NPI (National Provider Identifier) 1871535682 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Jennette R Kilgrow is physically located?

The Jennette R Kilgrow is situated at the following address: 1034 N 500 W, Provo, UT 846043380.

What is Jennette R Kilgrow's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jennette R Kilgrow's area of specialization is Dietitian, Registered, and the corresponding taxonomy code that categorizes this field of practice is 133V00000X.

On what date was the 1871535682 assigned to Jennette R Kilgrow?

The Jennette R Kilgrow was issued its 1871535682 on 2006-06-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Jennette R Kilgrow most recently updated or revised?

The details related to Jennette R Kilgrow, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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