National Provider Identifier

Caroline Ruth Kennedy, RDN

Caroline Ruth Kennedy, RDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Buffalo, NY and a listed phone number of (716) 323-0030.

NPI 1558196436Buffalo, NYRegistered Dietitian

Profile Overview

NPI
1558196436
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
September 03, 2024
Last Updated
September 03, 2024

Practice Location

  • 1001 Main St
  • Buffalo, NY 14203-1009

Phone: (716) 323-0030

Mailing Address

  • 4204 Trailing Dr
  • Williamsville, NY 14221-7538

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1558196436
Entity Type
Individual
Last Name
Kennedy
First Name
Caroline
Middle Name
Ruth
Credential
RDN
Mailing Street Address
4204 Trailing Dr
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-7538
Mailing Country
US
Mailing Phone
(716) 204-6731
Practice Street Address
1001 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1009
Practice Country
US
Practice Phone
(716) 323-0030
Enumeration Date
September 03, 2024
Last Updated
September 03, 2024
Sex
Female
Sole Proprietor
No
Certification Date
September 03, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)