NPI 1639609969 · live from the CMS NPI Registry
Kathryn Adel
Dietitian, Registered in Charleston, SC. National Provider Identifier 1639609969, active.
NPI record
| NPI | 1639609969 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 171 Ashley Ave, Charleston, SC 29425 |
| Practice phone | 843-792-1414 |
| Mailing address | Po Box 751461, Charlotte, NC 28275 |
| Enumerated | June 19, 2017 |
| Last updated | October 1, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1480 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.