Doctor Name: | MARCIA ANN KALISTA-RICHARDS |
NPI Number: | 1487743779 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPH RD CNSO LDN |
License Number: | DN000888 |
Business Practice Address: | 601 8th St Ckd Services Of Fullerton Whitehall, PA - 180525701 |
Business Phone Number: | 6102665811 |
Business Fax Number: | 6102665815 |
Mailing Address: | 7226 Whispering Ln, SLATINGTON |
State: | PA |
Postal Code: | 180802236 |
Phone Number: | 6107601310 |
Fax Number: | 6107600214 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 01/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DN000888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |