Provider Demographics
NPI:1558244004
Name:NGUYEN, KATHRYN (RDN, LD, CSR)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RDN, LD, CSR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46-270 KAHUHIPA ST APT A301
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-6085
Mailing Address - Country:US
Mailing Address - Phone:949-929-4797
Mailing Address - Fax:
Practice Address - Street 1:4380 LAWEHANA ST STE 100
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-3129
Practice Address - Country:US
Practice Address - Phone:949-929-4797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered