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NPI Code Detail

MEDICARE: KATHLEEN ALFREDA MAJKA R.D., L.D

MEDICARE: KATHLEEN ALFREDA MAJKA R.D., L.D
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 DietitianDI667ME

General Provider Information

NPI Number : 1619113636
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN ALFREDA MAJKA R.D., L.D
Provider Business Mailing Address
First Line : 11 BACK ROAD
Second Line :
City : PERRY
State : ME
Zip : 04667
Country : US
Telephone Number : 207-592-4803
Fax Number :
Provider Business Practice Location Address
First Line : 11 BACK RD
Second Line :
City : PLEASANT POINT
State : ME
Zip : 04667-4119
Country : US
Telephone Number : 207-853-0644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2008
Last Update Date : 09/28/2020

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