Active NPIIndividual provider

Kathryn L Clark, RD LDN

Dietitian, Registered in Lowell, Massachusetts

NPI Number1760161541
Practice location
130 Marshall RD, Lowell, MA 01852-5130
Fax
—
Last updated
July 18, 2023

Kathryn Louise Clark is a Dietitian, Registered based in Lowell, MA. Kathryn Louise Clark practices in Lowell, MA and has the professional credentials of RD LDN. The NPI Number for Kathryn Louise Clark is 1760161541 and holds a License No. 1935 (MA). The current practice location address for Kathryn Louise Clark is 130 Marshall RD, Lowell, MA 01852-5130 and can be reached out via phone at 978-429-9973.

Provider Profile Details

NPI Number
1760161541
Provider Name
Kathryn Louise Clark
Credential
RD LDN
Provider Entity Type
Individual
Gender
Female
Address
130 Marshall RD, Lowell, MA 01852-5130
Phone Number
978-429-9973
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
July 18, 2023
Last Update Date
July 18, 2023
Certification Date
July 18, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Marshall RD
Lowell, MA 01852-5130
City
Lowell
Zip
01852-5130
Phone Number
978-429-9973
Lowell, MA 01852Get directions →

Provider Business Mailing Address Details

Address
93 Harvard RD
Littleton, MA 01460-1004
City
Littleton
State
MA
Zip
01460-1004
Phone Number
978-697-5777

License Information

License Number
1935
License State
MA
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 L Clark, RD LDN?

The NPI number of Kathryn L Clark, RD LDN is 1760161541. It was assigned on July 18, 2023 and is currently active in the NPPES registry.

What is the specialty of Kathryn L Clark, RD LDN?

Kathryn L Clark, RD LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 1935.

Where does Kathryn L Clark, RD LDN practice?

The practice location is 130 Marshall RD, Lowell, MA 01852-5130. The office can be reached at 978-429-9973 (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 1760161541 directly on the NPPES registry website.

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