Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHERINE JANE BOSS, RD, CSP
ActivePediatric Nutrition · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1639842545
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2021 (4.7368990562124 yrs)
- Last Updated
- Jul 31, 2023
Practice Information
- Address
-
25 MICHIGAN ST NE STE 4200GRAND RAPIDS, MI, 495032559Browse MI providers · Browse ZIP 49503
- Phone
- 6162679150
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| ELISABETH FABER | RD | 1588966477 |
| JESSICA B DOORN | RD | 1407487424 |
| MRS. KRISTIN JAYNE BERGMAN | RD, CSP | 1184328452 |
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.