Provider Demographics
NPI:1760019251
Name:KILHAM, EMILY ANN (RD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:KILHAM
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 1:1300 EAGLE RIDGE DR S APT I2059
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-3434
Mailing Address - Country:US
Mailing Address - Phone:425-239-5752
Mailing Address - Fax:
Practice Address - Street 1:1300 EAGLE RIDGE DR S APT I2059
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-3434
Practice Address - Country:US
Practice Address - Phone:425-239-5752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered