Individual
KATHERINE ANNE SCHMID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
11193 GLEN AVON WAY, ZIONSVILLE, IN 46077-1287
(847) 867-6942
(317) 344-0265
Mailing address
11193 GLEN AVON WAY, ZIONSVILLE, IN 46077-1287
(847) 867-6942
(317) 344-0265
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164002523
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632756
BLUE SHIELD PROVIDER NUMB
IL
Enumeration date
02/22/2007
Last updated
12/29/2012
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