Doctor Name: | AUDREY A MCKERNAN |
NPI Number: | 1891925681 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.D. |
License Number: | ND5402 |
Business Practice Address: | 3501 Health Center Blvd Unit 2120 Bonita Springs, FL - 341358128 |
Business Phone Number: | 8884588559 |
Business Fax Number: | |
Mailing Address: | 1150 N 35th Ave Ste 540, HOLLYWOOD |
State: | FL |
Postal Code: | 330215431 |
Phone Number: | 8884598559 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2009 |
NPI Last Update Date: | 07/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND5402 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |