NPI 1033742291

Kaitlyn Marie Shannon, RDLDN

Practitioner Registered Dietitian Glendale, AZ

Practice location

Address: 20325 North 51st Avenue Building 9, Suite 166, Glendale, AZ 85308
Phone: (602) 341-5248
Fax: (602) 702-5219

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 86085245 (AZ)

Other Dietitian, Registered providers in Arizona →

Registry record

NPI: 1033742291
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Feb 2020
Record last updated: 19 Mar 2020

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.