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NPI Code Detail

MEDICARE: MISS ASHLEY KATHRYN DOWNS RDN

MEDICARE: MISS ASHLEY KATHRYN DOWNS RDN
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 Dietitian164.006443IL
2133V00000XRegistered Dietitian2019040210MO

General Provider Information

NPI Number : 1992319941
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ASHLEY KATHRYN DOWNS RDN
Provider Business Mailing Address
First Line : 2902 CHEROKEE ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63118-2919
Country : US
Telephone Number : 618-741-5954
Fax Number :
Provider Business Practice Location Address
First Line : 2902 CHEROKEE ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63118-2919
Country : US
Telephone Number : 314-450-7574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2020
Last Update Date : 07/20/2021

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