National Provider Identifier
Katherine O'Shea
Katherine O'Shea is listed in the NPPES registry with a primary specialty of Registered Dietitian in Fairport, NY and a listed phone number of (585) 905-1490.
Profile Overview
- NPI
- 1396465449
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- August 30, 2022
- Last Updated
- October 24, 2022
Practice Location
- 176 Hulburt RD
- Fairport, NY 14450-2473
Phone: (585) 905-1490
Mailing Address
- 10 Delancey St
- New York, NY 10002-2824
Specialties
- Registered Dietitian (133V00000X)
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1396465449
- Entity Type
- Individual
- Last Name
- O'Shea
- First Name
- Katherine
- Mailing Street Address
- 10 Delancey St
- Mailing City
- New York
- Mailing State
- NY
- Mailing ZIP Code
- 10002-2824
- Mailing Country
- US
- Mailing Phone
- (585) 905-1490
- Practice Street Address
- 176 Hulburt RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-2473
- Practice Country
- US
- Practice Phone
- (585) 905-1490
- Enumeration Date
- August 30, 2022
- Last Updated
- October 24, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 24, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X), Registered Dietitian (133V00000X)