Provider Demographics
NPI:1821588443
Name:BOSTON, CATHERINE (RD, LDN)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:BOSTON
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:BOSTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD, LDN
Mailing Address - Street 1:2602 MERRIWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-1735
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2602 MERRIWOOD DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-1735
Practice Address - Country:US
Practice Address - Phone:502-551-4688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-18
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered