| Doctor Name: | KENNORIS D. BATES |
| NPI Number: | 1306062351 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | RD899190 |
| Business Practice Address: | 847 West Childs Avenue Merced, CA - 953406805 |
| Business Phone Number: | 2093837441 |
| Business Fax Number: | 2093836198 |
| Mailing Address: | 737 West Childs Avenue, MERCED |
| State: | CA |
| Postal Code: | 953406805 |
| Phone Number: | 2093831848 |
| Fax Number: | 2093843966 |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | RD899190 |
| 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 |