NPI 1508037490 · live from the CMS NPI Registry
Kathleen Ann Bucklin, RD, LDN
Dietitian, Registered in Fall River, MA. National Provider Identifier 1508037490, active.
NPI record
| NPI | 1508037490 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 795 Middle St, Fall River, MA 02721 |
| Practice phone | 508-235-5285 |
| Mailing address | 328 New London Ave, West Warwick, RI 02893 |
| Enumerated | March 18, 2008 |
| Last updated | March 18, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2241 (MA) |
| Dietitian, Registered | 133V00000X | LDN00565 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.