Provider Demographics
NPI:1346018108
Name:MORTON, KATE LEVENTRY (RD)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:LEVENTRY
Last Name:MORTON
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7402 ACELA TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-4591
Mailing Address - Country:US
Mailing Address - Phone:512-694-8177
Mailing Address - Fax:
Practice Address - Street 1:7402 ACELA TRL
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-4591
Practice Address - Country:US
Practice Address - Phone:512-694-8177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5344133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered