Provider Demographics
NPI:1003148180
Name:WEBER, KA-YEE (DCN, MS, RD, CDCES)
Entity Type:Individual
Prefix:DR
First Name:KA-YEE
Middle Name:
Last Name:WEBER
Suffix:
Gender:F
Credentials:DCN, MS, RD, CDCES
Other - Prefix:DR
Other - First Name:KA-YEE
Other - Middle Name:
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DCN, MS, RD, CDCES
Mailing Address - Street 1:5125 LAKEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-9016
Mailing Address - Country:US
Mailing Address - Phone:559-802-3119
Mailing Address - Fax:559-802-3119
Practice Address - Street 1:5125 LAKEWOOD DR
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-9016
Practice Address - Country:US
Practice Address - Phone:559-334-8990
Practice Address - Fax:559-802-3119
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-01
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA916023133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered