Doctor Name: | PHYLLIS P KIRK |
NPI Number: | 1407921364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 851100 |
Business Practice Address: | 126 Auburn Ave Suite 400 Auburn, WA - 980025057 |
Business Phone Number: | 2062056801 |
Business Fax Number: | 2062056866 |
Mailing Address: | 4511 S 283rd St, AUBURN |
State: | WA |
Postal Code: | 980011108 |
Phone Number: | 2062056801 |
Fax Number: | 2062056866 |
NPI Enumeration Date: | 11/22/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 851100 |
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 |