Doctor Name: | MRS. KATHRYN MARY MARLOW |
NPI Number: | 1124337498 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,RD,LD |
License Number: | 187 |
Business Practice Address: | 115 Taylor St Punta Gorda, FL - 339503654 |
Business Phone Number: | 9415050888 |
Business Fax Number: | |
Mailing Address: | 24360 Henry Morgan Blvd, PUNTA GORDA |
State: | FL |
Postal Code: | 339551712 |
Phone Number: | 9417407744 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2010 |
NPI Last Update Date: | 10/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1006X |
License Number: | 187 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Metabolic |
Taxonomy Definition: |