Katherine Kielich, REGISTERED DIETITIAN
Individual provider Active NPI Registered Dietitian · Fairfax, CA
NPI 1043583719 · NPPES record last updated Feb 10, 2012
Key facts
- NPI
- 1043583719
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 999771 (CA)
- Practice address
- 51 Belle Ave
Fairfax, CA 94930-1725 - Phone
- (415) 847-4114
- NPI assigned
- Feb 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 999771 | CA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 999771 | CA | Yes |
Addresses
Primary practice location
51 Belle Ave
Fairfax, CA 94930-1725
Mailing address
51 Belle Ave
Fairfax, CA 94930-1725
Phone (415) 847-4114
Other providers in Fairfax, CA
- Julia Griselda Hernandez
- Jacquie D Hoffman
- Amy Ione Holle
- Jadyn Jim Jamora
- Elizabeth Fletcher Kelly
- Genevieve Elizabeth Le Goff
- Maria Therese Lee
- Jordana Lerios
- Jason Neal Linder
- Amy Cecile Logan
All providers in Fairfax, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.