K.shan Performance Llc.
NPI #1023637642 in Bethlehem, Pennsylvania
Provider Information
- NPI Number
- 1023637642
- Entity Type
- Organization
- Organization Name
- K.shan Performance Llc.
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Apr 14, 2020
- Last Updated
- Apr 14, 2020
Practice Location
- Address
- 1130 W BROAD ST STE 101
- City
- Bethlehem
- State
- Pennsylvania
- ZIP Code
- 18018-4926
- Phone
- (484) 554-9638
Authorized Official
- Name
- KYLE SHANNON
- Title
- MANAGING MEMBER/OWNER
- Phone
- (484) 894-2631
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered - Nutrition, Metabolic — Nutrition, Metabolic |
| Dietitian, Registered - Nutrition, Obesity and Weight Management — Nutrition, Obesity and Weight Management |
| Dietitian, Registered - Nutrition, Sports Dietetics — Nutrition, Sports Dietetics |
| Dietitian, Registered |
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