Individual
MS. JENNIFER LYNN KOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9457
Mailing address
406 SUGAR MAPLE DR, WINDBER, PA 15963-2553
(814) 248-1129
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1011274
—
133V00000X
Registered Dietitian
Primary
DN004387
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011274
COMMISSION ON DIETETIC REGISTRATION; REGISTERED DIETITIAN
—
01
—
DN004387
DIETITIAN-NUTRITIONIST (LDN) STATE LICENSE
PA
Enumeration date
01/12/2012
Last updated
01/12/2012
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