Kathleen E Duchene, RD
Individual provider Active NPI Registered Dietitian · Lakeport, CA
NPI 1104011279 · NPPES record last updated Sep 11, 2007
Key facts
- NPI
- 1104011279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 957895 (CA)
- Practice address
- 5176 Hill Rd E
Lakeport, CA 95453 - Phone
- (707) 262-5007
- Fax
- (707) 262-5145
- NPI assigned
- Sep 11, 2007
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 957895 | CA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 957895 | CA | Yes |
Addresses
Primary practice location
5176 Hill Rd E
Lakeport, CA 95453
Mailing address
5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5007
Other providers in Lakeport, CA
- Richard Allan Diwald
- Tracey Michelle Dobusch
- Elyse Midori Donald
- Keith Phillip Donald
- Jonathan Michael Drew
- Marlin Noelia Duran
- Gail P Dyne
- Easter Seals Bay Area
- Alyssa Eberhardt
- Harrison B Edgley Jr.
All providers in Lakeport, 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 Sep 11, 2007. 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.