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NPI Code Detail

MEDICARE: MRS. KATHRYN ALLISON ROSENQUIST RD

MEDICARE: MRS. KATHRYN ALLISON ROSENQUIST RD
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 Dietitian944989CA

General Provider Information

NPI Number : 1417497116
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHRYN ALLISON ROSENQUIST RD
Provider Business Mailing Address
First Line : 10790 RANCHO BERNARDO RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92127-5705
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2176 SALK AVE
Second Line :
City : CARLSBAD
State : CA
Zip : 92008-7346
Country : US
Telephone Number : 760-827-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2017
Last Update Date : 03/23/2026

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Directions to “ MRS. KATHRYN ALLISON ROSENQUIST RD” Practice Location

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