Anderson, Kathleen Mary
Anderson, Kathleen Mary is an individual health care provider with primary practice located at 615 Sheridan St , Port Townsend WA 98368-2439. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Anderson, Kathleen Mary can be contacted via phone (360) 385-9432.Contact Information
Primary practice address
615 Sheridan St
Port Townsend WA 98368-2439
Phone: (360) 385-9432
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DI00000004 | Washington |
Profile Details
| NPI number | 1205052818 |
|---|---|
| LBN Legal business name | Anderson, Kathleen Mary |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205052818 | NPPES |
| Washington | MEDICAID | 7311707 |
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