Individual provider · NPI-1

Kathryn J Boyd, R.D.

Dietitian, Registered · Santa Rosa, CA

NPI number1043371586
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1043371586
Entity type
Individual (NPI-1)
Name
Kathryn J Boyd
Credential
R.D.
Sex
Female
Sole proprietor
No
Enumeration date
Dec 12, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered515936–Yes

Practice location

401 Bicentennial Way
Santa Rosa, CA 95403-2149

Phone 707-571-4167

Mailing address

401 Bicentennial Way
Santa Rosa, CA 95403-2149

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