Doctor Name: | MS. KATHLEEN RODGERS |
NPI Number: | 1346526191 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.,R.D., C.D.E. |
License Number: | |
Business Practice Address: | 3022 Williams Dr Suite 300 Fairfax, VA - 220314600 |
Business Phone Number: | 7035739800 |
Business Fax Number: | 7035732959 |
Mailing Address: | 6824 Wild Rose Ct, SPRINGFIELD |
State: | VA |
Postal Code: | 221523124 |
Phone Number: | 7038667864 |
Fax Number: | 7038661382 |
NPI Enumeration Date: | 10/25/2011 |
NPI Last Update Date: | 10/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |