Kelli Frederick in Spokane - Dietitian, Registered

Kelli Frederick - NPI 1174781967

Kelli Frederick is a Dietitian, Registered in Spokane, Washington. Kelli Frederick practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Kelli Frederick is 1174781967. The last update date is 2008-05-28.

Kelli Frederick's current location address is 909 W Woodway Ave, Spokane, Washington. You can contact this provider via phone number 5099216560. The mailing address for Kelli Frederick is 909 W Woodway Ave, Spokane, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelli Frederick
Address 909 W Woodway Ave, Spokane, Washington
Phone Number 5099216560
Fax Number
Sole Proprietor N
Credentials RD

NPI Number Detail

NPI Number 1174781967
Provider Enumeration Date 2008-05-28
Last Updated Date 2008-05-28

Provider Mailing Address Detail

Address 909 W Woodway Ave
City Spokane
State Washington (WA)
Post Code 992182663
Phone Number 5099216560
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No DI00001335
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
9051731 WA --
DI00001335 WA WA CERTIFICATION NUMBER
8293979 WA PROVIDER NUMBER
887397 WA ADA NUMBER

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FAQs about Kelli Frederick

What is the unique identifier code issued to Kelli Frederick by the Centers for Medicare & Medicaid Services?

The Kelli Frederick has been assigned the NPI (National Provider Identifier) 1174781967. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Kelli Frederick?

The Kelli Frederick is physically situated at 909 W Woodway Ave, in the city of Spokane, state of WA, with the postal code 992182663.

What is the Kelli Frederick's specialty and taxonomy code?

The Kelli Frederick's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.

On what date did Kelli Frederick receive its 1174781967 assignment from the Centers for Medicare & Medicaid Services?

The Kelli Frederick was assigned its 1174781967 on 2008-05-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kelli Frederick most recently updated?

The details pertaining to the Kelli Frederick, including its address, specialty, and other relevant information, were last refreshed on 2008-05-28.

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