| Doctor Name: | CHRISTINE KAPHERR ELLIS |
| NPI Number: | 1598061939 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., R.D., C.D. |
| License Number: | 0740000048 |
| Business Practice Address: | 73 Watt Pond Rd Putney, VT - 053468962 |
| Business Phone Number: | 8023872164 |
| Business Fax Number: | |
| Mailing Address: | 73 Watt Pond Rd, PUTNEY |
| State: | VT |
| Postal Code: | 053468962 |
| Phone Number: | 8023872164 |
| Fax Number: | |
| NPI Enumeration Date: | 02/02/2011 |
| NPI Last Update Date: | 02/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1004X |
| License Number: | 0740000048 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Pediatric |
| Taxonomy Definition: | |