Healthcare Provider Details

I. General information

NPI: 1437194495
Provider Name (Legal Business Name): KATHRYN MARGARET CAMP M.S., R.D., C.S.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 GEORGIA AVE
WASHINGTON DC
20407-0001
US

IV. Provider business mailing address

12006 REMINGTON DR
SILVER SPRING MD
20902-1559
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-1962
  • Fax: 202-782-0740
Mailing address:
  • Phone: 202-782-1962
  • Fax: 202-782-0740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License NumberDI365
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: