Doctor Name: | KAITLYNN MARIE FORTUNATO |
NPI Number: | 1093082513 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | DX3254 |
Business Practice Address: | 7219 Hanover Pkwy Suite D Greenbelt, MD - 207702021 |
Business Phone Number: | 3014742499 |
Business Fax Number: | 3014745943 |
Mailing Address: | 7219 Hanover Pkwy, Suite D GREENBELT |
State: | MD |
Postal Code: | 207702021 |
Phone Number: | 3014742499 |
Fax Number: | 3014745943 |
NPI Enumeration Date: | 11/29/2011 |
NPI Last Update Date: | 11/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DX3254 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |