Doctor Name: | KATHLEEN M BENDER |
NPI Number: | 1033309315 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 1242 |
Business Practice Address: | 110 E 5th Ave Antigo, WI - 544092710 |
Business Phone Number: | 7156232351 |
Business Fax Number: | |
Mailing Address: | Po Box 1405, WAUSAU |
State: | WI |
Postal Code: | 544021405 |
Phone Number: | 7158472304 |
Fax Number: | 7158472321 |
NPI Enumeration Date: | 08/01/2007 |
NPI Last Update Date: | 08/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1242 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |