Kathleen Chaffer, RD

Individual provider Active NPI Registered Dietitian · Conifer, CO

NPI 1205176757 · NPPES record last updated Jul 6, 2015

Key facts

NPI
1205176757
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
459453 (CO)
Practice address
26659 Pleasant Park Rd
Conifer, CO 80433-7714
Phone
(303) 647-5300
NPI assigned
Feb 20, 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

State licenses

LicenseStateTypeSpecialty
459453COMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 459453 CO Yes

Addresses

Primary practice location

26659 Pleasant Park Rd
Conifer, CO 80433-7714

Mailing address

26659 Pleasant Park Rd
Conifer, CO 80433-7714
Phone (303) 647-5300

Other providers in Conifer, CO

All providers in Conifer, CO · Registered Dietitian in Colorado

Sources for this page

Verify at the official NPI Registry.