NPI 1578189221

Kathleen Comerford, MSCNSLDN

Practitioner Nutritionist Indianapolis, IN

Practice location

Address: 1075 Broad Ripple Ave STE 179, Indianapolis, IN 46220-2034
Phone: (317) 934-0331

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 164.007997 (IL)

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Registry record

NPI: 1578189221
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2020
Record last updated: 20 Dec 2021

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.