Kara Fricke Pendergrass in Lexington - Nutrition, Renal
Kara Fricke Pendergrass - NPI 1730179458
Kara Fricke Pendergrass is a Nutrition, Renal in Lexington, Kentucky. Kara Fricke Pendergrass practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Kara Fricke Pendergrass is 1730179458. The last update date is 2007-07-08.
Kara Fricke Pendergrass's current location address is 1101 Winchester Rd, Lexington, Kentucky. You can contact this provider via phone number 8592254595 and fax number 8592254726. The mailing address for Kara Fricke Pendergrass is 1101 Winchester Rd, Lexington, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kara Fricke Pendergrass |
|---|---|
| Address | 1101 Winchester Rd, Lexington, Kentucky |
| Phone Number | 8592254595 |
| Fax Number | 8592254726 |
| Sole Proprietor | X |
| Credentials | MS, RD, LD |
NPI Number Detail
| NPI Number | 1730179458 |
|---|---|
| Provider Enumeration Date | 2005-10-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1101 Winchester Rd |
|---|---|
| City | Lexington |
| State | Kentucky (KY) |
| Post Code | 405054028 |
| Phone Number | 8592254595 |
| Fax Number | 8592254726 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
| Licence No | 138 |
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Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
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What is the unique identifier code issued to Kara Fricke Pendergrass by the Centers for Medicare & Medicaid Services?
The Kara Fricke Pendergrass has been assigned the NPI (National Provider Identifier) 1730179458. 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 street address where Kara Fricke Pendergrass is physically located?
The Kara Fricke Pendergrass is physically situated at the following address: 1101 Winchester Rd, Lexington, KY, 405054028.
What is the Kara Fricke Pendergrass's area of specialization and corresponding taxonomy classification?
The Kara Fricke Pendergrass's specialty field is Nutrition, Renal, and it falls under the taxonomy code 133Vn1005X, which categorizes healthcare providers based on their specialties.
On what date did the Kara Fricke Pendergrass receive the assignment of its 1730179458 from the Centers for Medicare & Medicaid Services?
The Kara Fricke Pendergrass was issued its 1730179458 by the Centers for Medicare & Medicaid Services on 2005-10-25.
As of what date were the Kara Fricke Pendergrass's details last updated?
The information pertaining to the Kara Fricke Pendergrass, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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