Wellformed AI

NPI 1437756244 · live from the CMS NPI Registry

Kathryn Marie Marks, RD

Dietitian, Registered in Cheyenne, WY. National Provider Identifier 1437756244, active.

NPI record

NPI1437756244 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location2360 E Pershing Blvd, Cheyenne, WY 82001
Practice phone307-778-7550
Mailing address2520 Deming Blvd Apt 1, Cheyenne, WY 82001
EnumeratedOctober 5, 2020
Last updatedOctober 5, 2020
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X86119283 (WY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.