Doctor Name: | MRS. MARY KAY KOSS |
NPI Number: | 1831313014 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, CDE |
License Number: | R416222 |
Business Practice Address: | 19401 Hubbard Dr Dearborn, MI - 481262641 |
Business Phone Number: | 3139828192 |
Business Fax Number: | 3139828493 |
Mailing Address: | 9027 Robindale, REDFORD |
State: | MI |
Postal Code: | 482391578 |
Phone Number: | 3135311307 |
Fax Number: | 3139828493 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | R416222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |