Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LISA KANDELL KOTLER, M.S., R.D., CSP
ActivePediatric Nutrition · SCOTTSDALE, AZ
Registration Details
- NPI Number
- 1518298074
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2010 (16.261623616824 yrs)
- Last Updated
- Nov 25, 2022
Practice Information
- Address
-
9201 E MOUNTAIN VIEW RDSTE 120SCOTTSDALE, AZ, 85258Browse AZ providers · Browse ZIP 85258
- Phone
- 4805876980
- Fax
- 4808825023
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Registered Dietitian
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.