Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KATERYNA VADIMOVNA CLARK, M.S., R.D
Active Sole ProprietorMS. KATERYNA VADIMOVNA CLARK, M.S., R.D is a Registered Dietitian healthcare provider located in BANGOR, Maine. NPI 1508149964 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · BANGOR, ME
Registration Details
- NPI Number
- 1508149964
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2011 (14.855418191893 yrs)
- Last Updated
- Sep 22, 2011
- License
-
DI952 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
135 GROVE STBANGOR, ME, 044014007Browse ME providers · Browse ZIP 04401
- Phone
- 2072994940
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in BANGOR, ME
| Name | Credential | NPI |
|---|---|---|
| LIANE GIAMBALVO | RD, LCPC | 1639197072 |
| HEATHER LECLERC | RD | 1902824394 |
| DAYNA EMERSON | RD, CDE | 1902824352 |
| LYNN M BOLDUC | MS, RD,LD,CDE | 1902827207 |
| LAURI JACOBS | RD,CDE | 1033130414 |
| AMANDA MOON POULIN | RD,LD,CDE | 1649291006 |
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.