NPI 1174032478 · live from the CMS NPI Registry
Mary Kathryn Ausich, RD, CDE
Dietitian, Registered in Portage, MI. National Provider Identifier 1174032478, active.
NPI record
| NPI | 1174032478 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 7901 S 12th St Ste 200, Portage, MI 49024 |
| Practice phone | 269-341-8585 |
| Mailing address | 601 John Street, Box 39, Kalamazoo, MI 49007 |
| Enumerated | September 29, 2017 |
| Last updated | July 16, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1024516 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.