Active NPIIndividual providerSole proprietor

Kaitlyn M Willwerth

Dietitian, Registered in Philadelphia, Pennsylvania

NPI Number1063049914
Practice location
350 S 15TH St, Philadelphia, PA 19102-4919
Fax
—
Last updated
March 23, 2020

Kaitlyn Marie Willwerth is a Dietitian, Registered based in Philadelphia, PA. Kaitlyn Marie Willwerth practices in Philadelphia, PA. The NPI Number for Kaitlyn Marie Willwerth is 1063049914 and holds a License No. DN007057 (PA). The current practice location address for Kaitlyn Marie Willwerth is 350 S 15TH St, Philadelphia, PA 19102-4919 and can be reached out via phone at 609-204-1366.

Provider Profile Details

NPI Number
1063049914
Provider Name
Kaitlyn Marie Willwerth
Provider Entity Type
Individual
Gender
Female
Address
350 S 15TH St, Philadelphia, PA 19102-4919
Phone Number
609-204-1366
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 23, 2020
Last Update Date
March 23, 2020
Certification Date
March 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 S 15TH St
Philadelphia, PA 19102-4919
Zip
19102-4919
Phone Number
609-204-1366
Philadelphia, PA 19102Get directions →

Provider Business Mailing Address Details

Address
2 Knotty Oak Dr
Medford, NJ 08055-9149
City
Medford
State
NJ
Zip
08055-9149
Phone Number
609-204-1366

License Information

License Number
DN007057
License State
PA
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kaitlyn M Willwerth?

The NPI number of Kaitlyn M Willwerth is 1063049914. It was assigned on March 23, 2020 and is currently active in the NPPES registry.

What is the specialty of Kaitlyn M Willwerth?

Kaitlyn M Willwerth is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in PA under license number DN007057.

Where does Kaitlyn M Willwerth practice?

The practice location is 350 S 15TH St, Philadelphia, PA 19102-4919. The office can be reached at 609-204-1366 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063049914 directly on the NPPES registry website.

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