| Doctor Name: | KATHERINE RENEE JUERGENS |
| NPI Number: | 1417382904 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, LD, CNSC |
| License Number: | 1147 |
| Business Practice Address: | 165 Ashley Ave Ste. Eh110b Msc905 Charleston, SC - 294258905 |
| Business Phone Number: | 8437923971 |
| Business Fax Number: | |
| Mailing Address: | 93 Beaufain St Apt A, CHARLESTON |
| State: | SC |
| Postal Code: | 294011905 |
| Phone Number: | 9376311461 |
| Fax Number: | |
| NPI Enumeration Date: | 09/04/2013 |
| NPI Last Update Date: | 09/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 1147 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| 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 |