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NPI 1487780086 · live from the CMS NPI Registry

Kathleen M Benton, RD

Dietitian, Registered in Muskegon, MI. National Provider Identifier 1487780086, active.

NPI record

NPI1487780086 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location2700 Baker St Fl 3, Muskegon, MI 49444
Practice phone231-733-6607
EnumeratedFebruary 26, 2007
Last updatedJuly 8, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X726204 (IL)

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