Carolina Kidney Dietitian, LLC
Dietitian, Registered in Hickory, NC. Organization (NPI-2).
NPI number1629782933
StatusActive
Last updated in NPPESJan 11, 2023
Details
- NPI
- 1629782933
- Entity type
- Organization (NPI-2)
- Legal business name
- Carolina Kidney Dietitian, LLC
- Organization subpart
- No
- Enumeration date
- Jan 11, 2023
- Certification date
- Jan 11, 2023
- Last updated
- Jan 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
6089 Northlakes DrHickory, NC 28601-8943
Phone 662-614-5882
Mailing address
6089 Northlakes DrHickory, NC 28601-8943
Phone 662-614-5882
Authorized official
Megan Toomey
Owner, Member
6626145882
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