| Doctor Name: | THERESA KINSELLA |
| NPI Number: | 1033439591 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD |
| License Number: | 005797-1 |
| Business Practice Address: | 280 Madison Ave Suite 1004 New York, NY - 10016 |
| Business Phone Number: | 6463519148 |
| Business Fax Number: | |
| Mailing Address: | 1110 Boucher Ave, ANNAPOLIS |
| State: | MD |
| Postal Code: | 214032306 |
| Phone Number: | 6463519148 |
| Fax Number: | 6466664405 |
| NPI Enumeration Date: | 06/08/2010 |
| NPI Last Update Date: | 12/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 005797-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| 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 |