Individual
KATHRYN NOEL MISENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CDCES
Contact information
Practice address
185 HARRY S TRUMAN PKWY STE 120, ANNAPOLIS, MD 21401-7580
(410) 224-4553
(410) 224-8898
Mailing address
180 OLD BIGHT CT, EDGEWATER, MD 21037-2606
(704) 962-7848
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX4420
MD
133V00000X
Registered Dietitian
L004643
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261745725
AETNA
NC
Enumeration date
05/26/2016
Last updated
12/26/2024
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