Individual provider · NPI-1

Kathy L Anderson, R.D. MS, CDN, MBA

Dietitian, Registered · Bronx, NY

NPI number1154763233
StatusActive
Last updated in NPPESMay 4, 2015

Details

NPI
1154763233
Entity type
Individual (NPI-1)
Name
Ms. Kathy L Anderson
Credential
R.D. MS, CDN, MBA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 18, 2013
Last updated
May 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered719830NYYes

Practice location

2504 Olinville Ave
Apt 1g
Bronx, NY 10467-7452

Phone 646-261-7091 · Fax 914-293-2661

Mailing address

2504 Olinville Ave
Apt 1g
Bronx, NY 10467-7452

Phone 646-261-7091 · Fax 914-293-2661

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