NPI 1932752771

Kevin T Watanabe, MSMPHRDCSP

Practitioner Registered Dietitian Jber, AK

Practice location

Address: 5955 Zeamer Ave, Jber, AK 99506-3702
Phone: (907) 580-3205
Mailing address: 1597 Kaweloka St, Pearl City, HI 96782-1516

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in Alaska →

Registry record

NPI: 1932752771
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2019
Record last updated: 22 Jul 2019

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.