Doctor Name: | KEVIN BLUME |
NPI Number: | 1447517933 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.D. |
License Number: | D-683 |
Business Practice Address: | 1225 N Grand Ave # B Pullman, WA - 991633426 |
Business Phone Number: | 2088905241 |
Business Fax Number: | |
Mailing Address: | 254 Baker St Apt 4, MOSCOW |
State: | ID |
Postal Code: | 838433276 |
Phone Number: | 2088905241 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2012 |
NPI Last Update Date: | 04/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | D-683 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
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 |