NPI 1629761101 · live from the CMS NPI Registry
Kathryn Brandenburger, RDN
Dietitian, Registered in Lino Lakes, MN. National Provider Identifier 1629761101, active.
NPI record
| NPI | 1629761101 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 725 Country Lakes Dr, Lino Lakes, MN 55014 |
| Practice phone | 651-214-5480 |
| Enumerated | May 31, 2023 |
| Last updated | May 31, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.