Doctor Name: | MS. KATHLEEN M. SHAFER |
NPI Number: | 1255507778 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., R.D. |
License Number: | 719448 |
Business Practice Address: | 1200 B Gale Wilson Blvd Nutrition Services At Northbay Healthcare Fairfield, CA - 94533 |
Business Phone Number: | 7074297870 |
Business Fax Number: | |
Mailing Address: | 1200 B Gale Wilson Blvd, Nutrition Services At Northbay Healthcare FAIRFIELD |
State: | CA |
Postal Code: | 94533 |
Phone Number: | 7074297870 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2008 |
NPI Last Update Date: | 05/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 719448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |