Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM L PETERSHACK, CD
ActiveKIM L PETERSHACK, CD is a Registered Dietitian healthcare provider located in MADISON, Wisconsin. NPI 1346206323 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · MADISON, WI
Registration Details
- NPI Number
- 1346206323
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 26, 2006 (20.26956445618 yrs)
- Last Updated
- Jan 23, 2018
- License
-
15-029 (WI)
Practice Information
- Address
-
1313 FISH HATCHERY RDMADISON, WI, 537151911Browse WI providers · Browse ZIP 53715
- Phone
- 6082528000
- Fax
- 6082837192
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in MADISON, WI
| Name | Credential | NPI |
|---|---|---|
| GENA M VANKIRK | RD | 1134124530 |
| ANDREA DENISE ERICKSON | R.D., C.D. | 1578568630 |
| MRS. JENNIFER C. SMITH | RD | 1346211661 |
| MELODY M COLE | MS RD CD | 1568421642 |
| ALISA SUNNESS | RD CD CDE | 1982665360 |
| AMY M PODMOLIK | RD | 1275594673 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.