Provider Demographics
NPI:1447019906
Name:WHITSON, KATHERINE (MS, RDN)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:WHITSON
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:WHITSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, RDN
Mailing Address - Street 1:2061 E 103RD AVE
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-2336
Mailing Address - Country:US
Mailing Address - Phone:303-829-1944
Mailing Address - Fax:
Practice Address - Street 1:2061 E 103RD AVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-2336
Practice Address - Country:US
Practice Address - Phone:303-829-1944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered