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NPI Code Detail

MEDICARE: KATHRYN FORSBERG

MEDICARE: KATHRYN FORSBERG
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 DietitianLD005936GA

General Provider Information

NPI Number : 1407710189
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN FORSBERG
Provider Business Mailing Address
First Line : 2605 ELSINORE ST
Second Line :
City : EAST POINT
State : GA
Zip : 30344-6723
Country : US
Telephone Number : 770-825-3722
Fax Number :
Provider Business Practice Location Address
First Line : 2605 ELSINORE ST
Second Line :
City : EAST POINT
State : GA
Zip : 30344-6723
Country : US
Telephone Number : 770-825-3722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ KATHRYN FORSBERG ” Practice Location

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