Doctor Name: | SUSAN LYNN SMITH |
NPI Number: | 1386942241 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.B.A., R.D. |
License Number: | 722149 |
Business Practice Address: | 3651 Kakela Makai Drive Kalaheo, HI - 967410411 |
Business Phone Number: | 8082124657 |
Business Fax Number: | |
Mailing Address: | Po Box 411, KALAHEO |
State: | HI |
Postal Code: | 967410411 |
Phone Number: | 8082124657 |
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: | 133V00000X |
License Number: | 722149 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |