Individual
MS. KATHY L ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D. MS, CDN, MBA
Contact information
Practice address
2504 OLINVILLE AVE, APT 1G, BRONX, NY 10467-7452
(646) 261-7091
(914) 293-2661
Mailing address
2504 OLINVILLE AVE, APT 1G, BRONX, NY 10467-7452
(646) 261-7091
(914) 293-2661
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
719830
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001798
CD/N CERTIFIED DIETITIAN NUTRITIONIST UNIVERSITY OF THE STATE OF NEW YORK
NY
Enumeration date
07/18/2013
Last updated
05/04/2015
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