Individual
KENNETH HANS HERMANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN, CDCES
Contact information
Practice address
1044 11TH AVE, LONGVIEW, WA 98632-2506
(360) 575-8275
(360) 353-9440
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 353-9494
(360) 353-9440
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
11870717-4901
UT
133V00000X
Registered Dietitian
275943
KY
133V00000X
Registered Dietitian
Primary
DI61408612
WA
Other
Enumeration date
02/08/2023
Last updated
09/03/2025
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