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Kim L Petershack, CD
Registered Dietitian in Madison, Wisconsin
NPI 1346206323

Kim L Petershack is a Registered Dietitian based in Madison, WI. Kim L Petershack practices in Madison, WI and has the professional credentials of CD. The NPI Number for Kim L Petershack is 1346206323 and holds a License No. 15-029 (Wisconsin).

The current practice location address for Kim L Petershack is 1313 Fish Hatchery Rd, Madison, WI and can be reached out via phone at 608-252-8000 and via fax at 608-283-7192. You can also correspond with Kim L Petershack through the mailing address at 1313 FISH HATCHERY RD, MADISON, WI - 53715-1911 (mailing address contact number: 608-252-8000).

Location: 1313 Fish Hatchery Rd, Madison, WI, 53715-1911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346206323
Provider Name
Kim L Petershack
Credential
CD
Provider Entity Type
Individual
Gender
Female
Address
1313 Fish Hatchery Rd, Madison, WI, 53715-1911
Phone Number
608-252-8000
Fax Number
608-283-7192
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1948 01 WI DEAN HEALTH INSURANCE
institution
Provider Business Practice Location Address Details
Address
1313 Fish Hatchery Rd
City
Madison
State
Wisconsin
Zip
53715-1911
Phone Number
608-252-8000
Fax Number
608-283-7192
person
Provider Business Mailing Address Details
Address
1313 Fish Hatchery Rd
City
Madison
State
Wisconsin
Zip
53715-1911
Phone Number
608-252-8000
Fax Number
608-283-7192
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
-
Taxonomy
133V00000X
License No.
15-029 (Wisconsin)
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
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