Doctor Name: | MR. KENNETH R PAGELS |
NPI Number: | 1144574203 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RD |
License Number: | 86008770 |
Business Practice Address: | 1060 Parvin Mill Rd Pittsgrove, NJ - 083184168 |
Business Phone Number: | 8565030696 |
Business Fax Number: | |
Mailing Address: | 1060 Parvin Mill Rd, PITTSGROVE |
State: | NJ |
Postal Code: | 083184168 |
Phone Number: | 8565030696 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2012 |
NPI Last Update Date: | 12/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 86008770 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |