Provider Demographics
NPI:1891061685
Name:KENT, ANN SCHEUFLER (RD, CDE)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:SCHEUFLER
Last Name:KENT
Suffix:
Gender:F
Credentials:RD, CDE
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:CHRISTINE
Other - Last Name:SCHEUFLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2509 SPRUCE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-3093
Mailing Address - Country:US
Mailing Address - Phone:970-829-8667
Mailing Address - Fax:970-718-9229
Practice Address - Street 1:2509 SPRUCE CREEK DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-3093
Practice Address - Country:US
Practice Address - Phone:970-829-8667
Practice Address - Fax:970-718-9229
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-27
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1059516133V00000X
KS1731133V00000X
133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered