National Provider Identifier
Kennette Marie Carlson, MBA, RD, CDN
Kennette Marie Carlson, MBA, RD, CDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Buffalo, NY and a listed phone number of (716) 834-9200.
Profile Overview
- NPI
- 1154349363
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- July 17, 2006
- Last Updated
- July 08, 2007
Practice Location
- 3495 Bailey Ave
- Mail Code 528/120
- Buffalo, NY 14215-1129
Phone: (716) 834-9200
Mailing Address
- 1186 Nash RD
- North Tonawanda, NY 14120-2961
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1154349363
- Entity Type
- Individual
- Last Name
- Carlson
- First Name
- Kennette
- Middle Name
- Marie
- Name Prefix
- MS.
- Credential
- MBA, RD, CDN
- Mailing Street Address
- 1186 Nash RD
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2961
- Mailing Country
- US
- Mailing Phone
- (716) 834-9200
- Mailing Fax
- (716) 862-6374
- Practice Street Address
- 3495 Bailey Ave
- Practice Address Line 2
- Mail Code 528/120
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 834-9200
- Practice Fax
- (716) 862-6374
- Enumeration Date
- July 17, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)