Provider Demographics
NPI:1760728190
Name:MOMMY WORKSHOP, LLC
Entity Type:Organization
Organization Name:MOMMY WORKSHOP, LLC
Other - Org Name:KLF NUTRITION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:FINNAN
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:215-230-1900
Mailing Address - Street 1:875 N EASTON RD
Mailing Address - Street 2:SUITE 6B
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-1068
Mailing Address - Country:US
Mailing Address - Phone:215-230-1900
Mailing Address - Fax:215-230-1909
Practice Address - Street 1:875 N EASTON RD
Practice Address - Street 2:SUITE 6B
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-1068
Practice Address - Country:US
Practice Address - Phone:215-230-1900
Practice Address - Fax:215-230-1909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, PediatricGroup - Multi-Specialty
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, RenalGroup - Multi-Specialty
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Multi-Specialty