Doctor Name: | LOU KUPKA-SCHUTT |
NPI Number: | 1477712925 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, RD |
License Number: | DI00000022 |
Business Practice Address: | 1415 E Kincaid St Mount Vernon, WA - 982744126 |
Business Phone Number: | 3064244111 |
Business Fax Number: | |
Mailing Address: | Po Box 1376, MOUNT VERNON |
State: | WA |
Postal Code: | 982731376 |
Phone Number: | 3604244111 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2008 |
NPI Last Update Date: | 06/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DI00000022 |
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 |