NPI 1295020063 · live from the CMS NPI Registry
Kathleen Marie Abernathy, R.D., L.D.N.
Dietitian, Registered in Lake Forest, IL. National Provider Identifier 1295020063, active.
NPI record
| NPI | 1295020063 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 660 N Westmoreland Rd, Lake Forest, IL 60045 |
| Practice phone | 847-535-6330 |
| Enumerated | June 9, 2011 |
| Last updated | June 9, 2011 |
| Sole proprietor | No |
| Other names | Kathleen Anderson |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164-005095 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.