Healthcare Provider Details

I. General information

NPI: 1881084226
Provider Name (Legal Business Name): KATHERINE CLINE R.D., C.L.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHERINE CLINE RD

II. Dates (important events)

Enumeration Date: 01/23/2015
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3117 GRIGGSVIEW CT
COLUMBUS OH
43221-4606
US

IV. Provider business mailing address

3117 GRIGGSVIEW CT
COLUMBUS OH
43221-4606
US

V. Phone/Fax

Practice location:
  • Phone: 614-822-0095
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number980117
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: