NPI 1053713941

St. Agnes Healthcare, INC.

Organisation Registered Dietitian Baltimore, MD

Practice location

Address: 900 Caton Ave, Baltimore, MD 21229-5201
Phone: (667) 234-8448
Fax: (667) 234-2429
Mailing address: 3585 Washington Blvd, Halethorpe, MD 21227-1676

Authorised official

Name: Keith Vander Kolk
Title: President/Ceo
Phone: (667) 234-2101

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Maryland →

Registry record

NPI: 1053713941
Entity type: Organization
NPI issued: 23 Sep 2014
Record last updated: 25 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.