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NPI Code Detail

MEDICARE: KATHLEEN M SCHLEPP RD,MS,LD

MEDICARE: KATHLEEN M SCHLEPP RD,MS,LD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian235MT

General Provider Information

NPI Number : 1013937887
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN M SCHLEPP RD,MS,LD
Provider Business Mailing Address
First Line : 914 S CUSTER AVE
Second Line :
City : MILES CITY
State : MT
Zip : 59301-4904
Country : US
Telephone Number : 406-234-2272
Fax Number :
Provider Business Practice Location Address
First Line : 210 S WINCHESTER AVE
Second Line :
City : MILES CITY
State : MT
Zip : 59301-4742
Country : US
Telephone Number : 406-874-5640
Fax Number : 406-874-5650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/08/2007

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