Kidney Nutrition Consult, LLC
NPI #1659956241 in Quincy, Massachusetts
Provider Information
- NPI Number
- 1659956241
- Entity Type
- Organization
- Organization Name
- Kidney Nutrition Consult, LLC
- Primary Specialty
- Dietitian, Registered - Nutrition, Renal
- Enumeration Date
- Mar 15, 2021
- Last Updated
- May 3, 2021
Practice Location
- Address
- 285 VICTORY RD
- City
- Quincy
- State
- Massachusetts
- ZIP Code
- 02171-3137
- Phone
- (617) 320-2804
Authorized Official
- Name
- HAEWOOK HAN, PHD,RD,CSR,LDN
- Title
- OWNER
- Phone
- (617) 320-2804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered - Nutrition, Renal — Nutrition, Renal |
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