Kevin T Watanabe, MS, MPH, RD, CSP

NPI #1932752771 in Jber, Alaska

Provider Information

NPI Number: 1932752771
Entity Type: Individual
Name: Kevin T Watanabe, MS, MPH, RD, CSP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: MS, MPH, RD, CSP
Enumeration Date: Jul 22, 2019
Last Updated: Jul 22, 2019

Practice Location

Address: 5955 ZEAMER AVE
City: Jber
State: Alaska
ZIP Code: 99506-3702
Phone: (907) 580-3205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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