Shannon Kilichowski in Bemidji - Dietitian, Registered

Shannon Kilichowski - NPI 1356513212

Shannon Kilichowski is a Dietitian, Registered in Bemidji, Minnesota. Shannon Kilichowski practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Shannon Kilichowski is 1356513212. The last update date is 2008-03-31.

Shannon Kilichowski's current location address is 1233 34th St Nw, Bemidji, Minnesota. You can contact this provider via phone number 2183335000 and fax number 2183335360. The mailing address for Shannon Kilichowski is 1233 34th St Nw, Bemidji, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Kilichowski
Address 1233 34th St Nw, Bemidji, Minnesota
Phone Number 2183335000
Fax Number 2183335360
Sole Proprietor N
Credentials LRD

NPI Number Detail

NPI Number 1356513212
Provider Enumeration Date 2008-03-31
Last Updated Date 2008-03-31

Provider Mailing Address Detail

Address 1233 34th St Nw
City Bemidji
State Minnesota (MN)
Post Code 566015112
Phone Number 2183335000
Fax Number 2183335360

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 2700
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 Shannon Kilichowski

What is the Shannon Kilichowski's 1356513212?

The Shannon Kilichowski's NPI (National Provider Identifier) Number is 1356513212. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Shannon Kilichowski's facilities are geographically located?

The facilities of Shannon Kilichowski are physically situated at the following location: 1233 34Th St Nw, Bemidji, MN, 566015112.

What is the Shannon Kilichowski's area of specialization and corresponding taxonomy classification?

The Shannon Kilichowski's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.

When did the Shannon Kilichowski receive its 1356513212?

The Shannon Kilichowski was issued its 1356513212 on 2008-03-31, which is the date when the organization was assigned this unique identifier.

When was the Shannon Kilichowski's information last updated?

The Shannon Kilichowski's information was last updated on 2008-03-31.

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