Doctor Name: | MRS. KATHLEEN M MARTIN |
NPI Number: | 1265449466 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 723450 |
Business Practice Address: | 718 Smyth Rd Manchester, NH - 031047004 |
Business Phone Number: | 6036244366 |
Business Fax Number: | |
Mailing Address: | 143 E Derry Rd, CHESTER |
State: | NH |
Postal Code: | 030364340 |
Phone Number: | 6038875220 |
Fax Number: | |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 723450 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
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 |