Doctor Name: | KATIE MCKINNEY |
NPI Number: | 1619372158 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MR, RD, CSSD, LDN |
License Number: | 164004109 |
Business Practice Address: | 1903 Forestview Dr Mahomet, IL - 618539323 |
Business Phone Number: | 2174181547 |
Business Fax Number: | |
Mailing Address: | 1903 Forestview Dr, MAHOMET |
State: | IL |
Postal Code: | 618539323 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/27/2014 |
NPI Last Update Date: | 10/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 164004109 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |