Healthcare Provider Details

I. General information

NPI: 1598889339
Provider Name (Legal Business Name): KATHERINE BROWNING YATES RDN LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 03/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 W PARKER RD STE A
MORGANTON NC
28655-4649
US

IV. Provider business mailing address

145 W PARKER RD STE A
MORGANTON NC
28655-4649
US

V. Phone/Fax

Practice location:
  • Phone: 828-433-5171
  • Fax:
Mailing address:
  • Phone: 828-433-5171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License NumberL001697
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: