Doctor Name: | MS. KAITLYN DICKERT |
NPI Number: | 1396102307 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | ND7665 |
Business Practice Address: | 6199 W Gulf To Lake Hwy Crystal River, FL - 34429 |
Business Phone Number: | 3527950644 |
Business Fax Number: | |
Mailing Address: | 6199 W Gulf To Lake Hwy, CRYSTAL RIVER |
State: | FL |
Postal Code: | 34429 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/21/2016 |
NPI Last Update Date: | 01/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND7665 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |