Healthcare Provider Details

I. General information

NPI: 1639028228
Provider Name (Legal Business Name): KH NUTRITION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2967 E CANYON CREST DR
SPANISH FORK UT
84660-8936
US

IV. Provider business mailing address

2967 E CANYON CREST DR
SPANISH FORK UT
84660-8936
US

V. Phone/Fax

Practice location:
  • Phone: 385-437-2588
  • Fax: 385-475-4656
Mailing address:
  • Phone: 385-437-2588
  • Fax: 385-475-4656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KATRISHA HAWKS
Title or Position: DIETITIAN
Credential: RD, CD
Phone: 385-437-2588