Healthcare Provider Details

I. General information

NPI: 1861328015
Provider Name (Legal Business Name): ALISON KANE NUTRITION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 LINCOLN ST STE 2400
HINGHAM MA
02043-1579
US

IV. Provider business mailing address

350 LINCOLN ST STE 2400
HINGHAM MA
02043-1579
US

V. Phone/Fax

Practice location:
  • Phone: 617-302-6188
  • Fax:
Mailing address:
  • Phone: 617-302-6188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: ALISON NICOLE KANE
Title or Position: OWNER
Credential: RD
Phone: 617-302-6188