Kathleen Sue Detamore, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

5709 Issued in OH

Practice address

55 W Waterloo Rd
Akron, OH 44319-1116

Phone

(330) 724-7715

Fax

(330) 724-1080

NPI assigned

Jul 26, 2006

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922022979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 TOWNSHIP ROAD 900",
            "city": "WEST SALEM",
            "state": "OH",
            "postal_code": "442878729",
            "telephone_number": "419-869-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W WATERLOO RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443191116",
            "telephone_number": "330-724-7715",
            "fax_number": "330-724-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETAMORE",
        "first_name": "KATHLEEN",
        "middle_name": "SUE",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "5709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monal Desai, M.D. (IN MAY 2014)
• Aditi Ravikumar Deshmukh
• Shivani Deshpande, DO
• Ashley Desmett, M.D.
• Destine Health Care Agency LLC
• Haley Erin Dettling, PA-C
• Samuel Drew Dettling, MD
• Lisa Ann Dettorre, CPNP
• Elizabeth Ann Detwiler, DO
• Michael John Deutschman, LPN

• Registered Dietitian in Akron, OH
• Providers in Akron, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.