NPI 1164519872 · live from the CMS NPI Registry
Kathryn A. Redle, RD, CDE
Dietitian, Registered in Sheridan, WY. National Provider Identifier 1164519872, active.
NPI record
| NPI | 1164519872 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1898 Fort Rd, Va Medical Center (120), Sheridan, WY 82801 |
| Practice phone | 307-672-3473 |
| Mailing address | 115 Red Fox Dr, Sheridan, WY 82801 |
| Enumerated | October 6, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 459818 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.