Healthcare Provider Details

I. General information

NPI: 1497080758
Provider Name (Legal Business Name): EMILY KNUP RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2009
Last Update Date: 10/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL CT
BELLOWS FALLS VT
05101-1489
US

IV. Provider business mailing address

PO BOX 710
SPRINGFIELD VT
05156-0710
US

V. Phone/Fax

Practice location:
  • Phone: 802-463-9000
  • Fax: 802-463-3911
Mailing address:
  • Phone: 802-885-5785
  • Fax: 802-885-3261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: