Individual
MRS. KATHERINE ELIZABETH HENNEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CNSC
Contact information
Practice address
1401 W AGENCY RD, WEST BURLINGTON, IA 52655-1659
(319) 768-4100
(319) 768-3412
Mailing address
1401 W AGENCY RD, WEST BURLINGTON, IA 52655-1659
(319) 768-4100
(319) 768-3412
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01393
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134168263
HOSPITAL NPI #
IA
Enumeration date
06/30/2011
Last updated
07/01/2011
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