Kathleen Mackenzie Kraft, RD

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

License

2377 Issued in SC

Practice address

204 W Hill Blvd
Charleston, SC 29404-4704

Phone

(843) 963-1110

NPI assigned

Mar 14, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1679221220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24132 BREEZY POINT RD",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "234172934",
            "telephone_number": "757-710-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W HILL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294044704",
            "telephone_number": "843-963-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "KATHLEEN",
        "middle_name": "MACKENZIE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "SC",
            "license": "2377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lauren Kowal, M.D.
• Terry Kowalenko, M.D.
• Greg Kozioziemski, CRNA
• Kari E Kraemer, D.O.
• Andrew S Kraft, MD
• Mira Kraft, OTR/L
• Sara Virella Kraft, DPT, MHS, NCS, ATP
• Fred M Krainin, M.D.
• Joseph Gordon Krainin, MD
• Cassidy Lauren Kraker, DDS

• Sports Dietetics Nutrition Registered Dietitian in Charleston, SC
• Providers in Charleston, SC by specialty
• Sports Dietetics Nutrition Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.