Provider Demographics
NPI:1124394846
Name:KANYO, MONIKA MARGIT (CNSC, RD, MS)
Entity Type:Individual
Prefix:MS
First Name:MONIKA
Middle Name:MARGIT
Last Name:KANYO
Suffix:
Gender:F
Credentials:CNSC, RD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 S 46TH AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-3232
Mailing Address - Country:US
Mailing Address - Phone:509-452-2404
Mailing Address - Fax:509-452-2409
Practice Address - Street 1:4601 TIETON DR
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3477
Practice Address - Country:US
Practice Address - Phone:509-452-2404
Practice Address - Fax:509-452-2409
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANU60043470133N00000X
WADI6012018133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist