Doctor Name: | KATHERINE BOYD |
NPI Number: | 1295033165 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | LD.6521 |
Business Practice Address: | 825 Ambassador Dr Wadsworth, OH - 442811996 |
Business Phone Number: | 3309042340 |
Business Fax Number: | |
Mailing Address: | 825 Ambassador Dr, WADSWORTH |
State: | OH |
Postal Code: | 442811996 |
Phone Number: | 3309042340 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2011 |
NPI Last Update Date: | 03/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1006X |
License Number: | LD.6521 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Metabolic |
Taxonomy Definition: |