Andrea Renee Komm in Southaven - Dietitian, Registered
Andrea Renee Komm - NPI 1700057031
Andrea Renee Komm is a Dietitian, Registered in Southaven, Mississippi. Andrea Renee Komm practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Andrea Renee Komm is 1700057031. The last update date is 2008-03-14.
Andrea Renee Komm's current location address is 7601 Southcrest Pkwy, Southaven, Mississippi. You can contact this provider via phone number 6627723186 and fax number 6627723197. The mailing address for Andrea Renee Komm is 7601 Southcrest Pkwy, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Renee Komm |
|---|---|
| Address | 7601 Southcrest Pkwy, Southaven, Mississippi |
| Phone Number | 6627723186 |
| Fax Number | 6627723197 |
| Sole Proprietor | N |
| Credentials | MS, RD, LD |
NPI Number Detail
| NPI Number | 1700057031 |
|---|---|
| Provider Enumeration Date | 2008-03-14 |
| Last Updated Date | 2008-03-14 |
Provider Mailing Address Detail
| Address | 7601 Southcrest Pkwy |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 386714739 |
| Phone Number | 6627723186 |
| Fax Number | 6627723197 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | D1274 |
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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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What is the unique 10-digit identification code issued to Andrea Renee Komm by the Centers for Medicare & Medicaid Services?
The Andrea Renee Komm has been assigned the NPI (National Provider Identifier) 1700057031 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Andrea Renee Komm is physically located?
The Andrea Renee Komm is physically situated at the following address: 7601 Southcrest Pkwy, Southaven, MS, 386714739.
What is Andrea Renee Komm's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Andrea Renee Komm is Dietitian, Registered, and the taxonomy code that classifies this field of practice is 133V00000X.
When did the Andrea Renee Komm receive its 1700057031?
The Andrea Renee Komm was issued its 1700057031 on 2008-03-14, which is the date when the organization was assigned this unique identifier.
When was the information related to Andrea Renee Komm most recently updated or refreshed?
The details pertaining to the Andrea Renee Komm, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-14.