| Doctor Name: | KATHRYN BOARDMAN |
| NPI Number: | 1861766875 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD |
| License Number: | DN004583 |
| Business Practice Address: | 1243 S Cedar Crest Blvd Ste 2200 Allentown, PA - 181036268 |
| Business Phone Number: | 6104025000 |
| Business Fax Number: | 6104028539 |
| Mailing Address: | Po Box 783311, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191783311 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/08/2012 |
| NPI Last Update Date: | 12/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DN004583 |
| 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 |