Provider Demographics
NPI:1235767591
Name:KATHY GARVEY NUTRITION
Entity Type:Organization
Organization Name:KATHY GARVEY NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LDN
Authorized Official - Phone:504-453-3253
Mailing Address - Street 1:3801 N CAUSEWAY BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-1756
Mailing Address - Country:US
Mailing Address - Phone:504-453-3253
Mailing Address - Fax:
Practice Address - Street 1:3801 N CAUSEWAY BLVD STE 303
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-1756
Practice Address - Country:US
Practice Address - Phone:504-453-3253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty