Provider Demographics
NPI:1083129233
Name:VOICECHOVSKI, KAITLIN FRANCES (RD,LDN)
Entity Type:Individual
Prefix:
First Name:KAITLIN
Middle Name:FRANCES
Last Name:VOICECHOVSKI
Suffix:
Gender:F
Credentials:RD,LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 RESERVOIR AVE STE 126
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-6000
Mailing Address - Country:US
Mailing Address - Phone:401-228-6010
Mailing Address - Fax:401-228-8167
Practice Address - Street 1:1145 RESERVOIR AVE STE 126
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-6000
Practice Address - Country:US
Practice Address - Phone:401-228-6010
Practice Address - Fax:401-228-8167
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILDN00921133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered