Anderson, Kathy L

Anderson, Kathy L is an sole proprietor health care provider with primary practice located at 2504 Olinville Ave Apt 1G, Bronx NY 10467-7452. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Anderson, Kathy L can be contacted via phone (646) 261-7091.

Contact Information

Primary practice address
2504 Olinville Ave Apt 1G Bronx NY 10467-7452
Phone: (646) 261-7091
Fax: (914) 293-2661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 719830 New York

Profile Details

NPI number 1154763233
LBN Legal business name Anderson, Kathy L
Credentials R.D. MS, CDN, MBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2013
Last updated May 4th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154763233 NPPES
New York Other 001798 CD/N CERTIFIED DIETITIAN NUTRITIONIST UNIVERSITY OF THE STATE OF NEW YORK

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