Individual provider · NPI-1

Katherine Berger, RD

Dietitian, Registered · San Jose, CA

NPI number1114570876
StatusActive
Last updated in NPPESFeb 1, 2021

Details

NPI
1114570876
Entity type
Individual (NPI-1)
Name
Mrs. Katherine Berger
Credential
RD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 22, 2019
Certification date
Feb 1, 2021
Last updated
Feb 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered001091091CAYes

Other names

  • Kate Berger (Other Name)

Practice location

967 W Hedding St Ste 110
San Jose, CA 95126-1259

Phone 858-205-9478

Mailing address

967 W Hedding St Ste 110
San Jose, CA 95126-1259

Phone 858-205-9478

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