Provider Demographics
NPI:1164621355
Name:KAY LUND, RD, CDE, LLC
Entity Type:Organization
Organization Name:KAY LUND, RD, CDE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:LUND
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CDE
Authorized Official - Phone:541-892-4808
Mailing Address - Street 1:PO BOX 1035
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97634-1035
Mailing Address - Country:US
Mailing Address - Phone:541-892-4808
Mailing Address - Fax:866-308-0718
Practice Address - Street 1:905 MAIN ST
Practice Address - Street 2:SUITE 602
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-5810
Practice Address - Country:US
Practice Address - Phone:541-892-4808
Practice Address - Fax:866-308-0718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2010-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR585133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR134299Medicare PIN