Provider Demographics
NPI:1205216744
Name:EPSTEIN, KENDRA (RDN)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:KENDRA
Other - Middle Name:
Other - Last Name:FINK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11800 OLD GEORGETOWN RD
Mailing Address - Street 2:APT 1419
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2645
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11800 OLD GEORGETOWN RD
Practice Address - Street 2:APT 1419
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2645
Practice Address - Country:US
Practice Address - Phone:703-201-6722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-29
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX3161133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered