Doctor Name: | MS. KATHERINE MARIE KAUFMANN-ALDERETE |
NPI Number: | 1013942820 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | |
Business Practice Address: | 320 James Way Suite 280 Pismo Beach, CA - 934492813 |
Business Phone Number: | 8052956270 |
Business Fax Number: | 8055560447 |
Mailing Address: | 320 James Way, Suite 280 PISMO BEACH |
State: | CA |
Postal Code: | 934492813 |
Phone Number: | 8052956270 |
Fax Number: | 8055560447 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 06/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1006X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Metabolic |
Taxonomy Definition: |