Provider Demographics
NPI:1598215188
Name:GYIMESI, KASSANDRA (RDN)
Entity Type:Individual
Prefix:MS
First Name:KASSANDRA
Middle Name:
Last Name:GYIMESI
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 1:420 E 58TH AVE STE 128A-1
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216-1430
Mailing Address - Country:US
Mailing Address - Phone:720-214-7949
Mailing Address - Fax:
Practice Address - Street 1:420 E 58TH AVE STE 128A-1
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-1430
Practice Address - Country:US
Practice Address - Phone:720-214-7949
Practice Address - Fax:720-214-7949
Is Sole Proprietor?:No
Enumeration Date:2016-10-07
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered