Organization
K.SHAN PERFORMANCE LLC.
Active
Other names
KSP Fitness
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE SHANNON (MANAGING MEMBER/OWNER)
(484) 894-2631
Entity
Organization
Contact information
Practice address
1130 W BROAD ST STE 101, BETHLEHEM, PA 18018-4926
(484) 554-9638
Mailing address
1130 W BROAD ST STE 101, BETHLEHEM, PA 18018-4926
(484) 554-9638
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us