Active NPIIndividual provider

Kathryn D Clark, RD

Dietitian, Registered in Middlebury, Vermont

NPI Number1396837860
Practice location
115 Porter Drive, Porter Hospital, Middlebury, VT 05753
Fax
802-388-8870
Last updated
July 8, 2007

Kathryn D Clark is a Dietitian, Registered based in Middlebury, VT. Kathryn D Clark practices in Middlebury, VT and has the professional credentials of RD. The NPI Number for Kathryn D Clark is 1396837860 and holds a License No. 0740000038 (VT). The current practice location address for Kathryn D Clark is 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 and can be reached out via phone at 802-388-4775 and via fax at 802-388-8870.

Provider Profile Details

NPI Number
1396837860
Provider Name
Kathryn D Clark
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
115 Porter Drive, Porter Hospital, Middlebury, VT 05753
Phone Number
802-388-4775
Fax Number
802-388-8870
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
September 29, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Porter Drive
Porter Hospital
Middlebury, VT 05753
State
Vermont
Zip
05753
Phone Number
802-388-4775
Fax Number
802-388-8870
Middlebury, VT 05753Get directions →

Provider Business Mailing Address Details

Address
115 Porter Drive
Finance Dept
Middlebury, VT 05753
City
Middlebury
State
VT
Zip
05753
Phone Number
802-388-5607
Fax Number
802-388-5654

License Information

License Number
0740000038
License State
VT
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 Kathryn D Clark, RD?

The NPI number of Kathryn D Clark, RD is 1396837860. It was assigned on September 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Kathryn D Clark, RD?

Kathryn D Clark, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in VT under license number 0740000038.

Where does Kathryn D Clark, RD practice?

The practice location is 115 Porter Drive, Porter Hospital, Middlebury, VT 05753. The office can be reached at 802-388-4775 (phone) or 802-388-8870 (fax).

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 1396837860 directly on the NPPES registry website.

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