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NPI Code Detail

MEDICARE: MRS. KATHERINE ZAVODNI MPH, RD/CEDRD, CD

MEDICARE: MRS. KATHERINE ZAVODNI MPH, RD/CEDRD, CD
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 Dietitian9383810-4901UT

General Provider Information

NPI Number : 1841568581
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHERINE ZAVODNI MPH, RD/CEDRD, CD
Provider Business Mailing Address
First Line : 1848 E HERBERT AVE
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84108-1832
Country : US
Telephone Number : 919-451-7500
Fax Number :
Provider Business Practice Location Address
First Line : 1848 E HERBERT AVE
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84108-1832
Country : US
Telephone Number : 919-451-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2011
Last Update Date : 04/01/2022

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Directions to “ MRS. KATHERINE ZAVODNI MPH, RD/CEDRD, CD” Practice Location

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