Provider Demographics
NPI:1437921988
Name:KILBORN-BARNDT, SANDRA (RDN)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:KILBORN-BARNDT
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 WEST ST
Mailing Address - Street 2:
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-1622
Mailing Address - Country:US
Mailing Address - Phone:215-622-0544
Mailing Address - Fax:
Practice Address - Street 1:324 WEST ST
Practice Address - Street 2:
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-1622
Practice Address - Country:US
Practice Address - Phone:215-622-0544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered