Doctor Name: | KATHRYN DUE |
NPI Number: | 1336519354 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | DI60454188 |
Business Practice Address: | 32030 23rd Ave S Federal Way, WA - 980036031 |
Business Phone Number: | 2539464852 |
Business Fax Number: | 2539464862 |
Mailing Address: | 790 Remington Blvd, BOLINGBROOK |
State: | IL |
Postal Code: | 604404909 |
Phone Number: | 6302962223 |
Fax Number: | 6307599510 |
NPI Enumeration Date: | 10/02/2015 |
NPI Last Update Date: | 10/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DI60454188 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |