NPI 1255939146 · live from the CMS NPI Registry
Katie Nicole Klug, RD
Dietitian, Registered in Dickinson, ND. National Provider Identifier 1255939146, active.
NPI record
| NPI | 1255939146 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2615 Fairway St, Dickinson, ND 58601 |
| Practice phone | 701-456-6000 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | October 13, 2020 |
| Last updated | May 11, 2022 |
| Sole proprietor | Yes |
| Other names | Katie Pavlicek |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1155 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.