Individual
KATE REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
11120 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20904-2633
(301) 754-0505
Mailing address
2607 JEFFERSON DR, ALEXANDRIA, VA 22303-1330
(484) 889-6393
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX4745
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86115390
COMMISSION ON DIETETIC REGISTRATION ID
—
Enumeration date
07/17/2019
Last updated
07/17/2019
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