Healthcare Provider Details

I. General information

NPI: 1700360799
Provider Name (Legal Business Name): KATHRYN MARIE STEVE MBA, RD, LRD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2018
Last Update Date: 09/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 N 7TH ST
BISMARCK ND
58501-4441
US

IV. Provider business mailing address

125 IRVINE LOOP APT 2302
BISMARCK ND
58504-3075
US

V. Phone/Fax

Practice location:
  • Phone: 701-323-2800
  • Fax:
Mailing address:
  • Phone: 701-290-0521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number850
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: