Provider Demographics
NPI:1598905911
Name:KILPATRICK, JULIE (RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:KILPATRICK
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3000 JOHNSON RD SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35805-5847
Mailing Address - Country:US
Mailing Address - Phone:256-650-1728
Mailing Address - Fax:256-650-1780
Practice Address - Street 1:3000 JOHNSON RD SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-5847
Practice Address - Country:US
Practice Address - Phone:256-650-1728
Practice Address - Fax:256-650-1780
Is Sole Proprietor?:No
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1093133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric