Doctor Name: | KENDOLYN M RUMMAGE |
NPI Number: | 1336210582 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS, RD |
License Number: | 835498 |
Business Practice Address: | 1003 Willow Creek Rd Prescott, AZ - 863011641 |
Business Phone Number: | 9287715794 |
Business Fax Number: | 9287715351 |
Mailing Address: | 1003 Willow Creek Rd, PRESCOTT |
State: | AZ |
Postal Code: | 863011641 |
Phone Number: | 9287715794 |
Fax Number: | 9287715351 |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 835498 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |