Individual
KIM SCHOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
831 BEVINS ST, LAKEPORT, CA 95453-9755
(707) 263-5253
Mailing address
9495 TENAYA WAY, KELSEYVILLE, CA 95451-9646
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86110508
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86110508
COMMISSION ON DIETETIC REGISTRATION (CDR)
CA
Enumeration date
06/16/2021
Last updated
06/16/2021
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