Katie J Adrian, RD

Individual provider Active NPI Registered Dietitian · Coeur D Alene, ID

NPI 1053741371 · NPPES record last updated Nov 22, 2013

Key facts

NPI
1053741371
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
D-790 (ID)
Practice address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone
(208) 666-2000
Fax
(208) 666-3963
NPI assigned
Nov 22, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X D-790 ID Yes

Addresses

Primary practice location

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

Mailing address

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 666-2000

Other providers in Coeur D Alene, ID

All providers in Coeur D Alene, ID · Registered Dietitian in Idaho

Sources for this page

Verify at the official NPI Registry.