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NPI Code Detail

MEDICARE: KERRI DOTSON RDN, LDN

MEDICARE: KERRI DOTSON RDN, LDN
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 Dietitian2574LA

General Provider Information

NPI Number : 1194105643
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRI DOTSON RDN, LDN
Provider Business Mailing Address
First Line : 300 N BROAD ST
Second Line : SUITE 102
City : NEW ORLEANS
State : LA
Zip : 70119-5577
Country : US
Telephone Number : 504-988-9108
Fax Number :
Provider Business Practice Location Address
First Line : 300 N BROAD ST
Second Line : SUITE 102
City : NEW ORLEANS
State : LA
Zip : 70119-5577
Country : US
Telephone Number : 504-988-9108
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2015
Last Update Date : 05/30/2015

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Directions to “ KERRI DOTSON RDN, LDN” Practice Location

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