Doctor Name: | KATELYN MUSTAIN BIANCONI |
NPI Number: | 1740602796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 2486 |
Business Practice Address: | 801 N Weisgarber Rd Suite 100 Knoxville, TN - 379092706 |
Business Phone Number: | 8655885121 |
Business Fax Number: | |
Mailing Address: | 801 N Weisgarber Rd, Suite 100 KNOXVILLE |
State: | TN |
Postal Code: | 379092706 |
Phone Number: | 8655885121 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2014 |
NPI Last Update Date: | 12/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2486 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
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 |