Provider Demographics
NPI:1013942820
Name:KAUFMANN-ALDERETE, KATHERINE MARIE (RD)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:MARIE
Last Name:KAUFMANN-ALDERETE
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 1:320 JAMES WAY
Mailing Address - Street 2:SUITE 280
Mailing Address - City:PISMO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93449-2813
Mailing Address - Country:US
Mailing Address - Phone:805-295-6270
Mailing Address - Fax:805-556-0447
Practice Address - Street 1:320 JAMES WAY
Practice Address - Street 2:SUITE 280
Practice Address - City:PISMO BEACH
Practice Address - State:CA
Practice Address - Zip Code:93449-2813
Practice Address - Country:US
Practice Address - Phone:805-295-6270
Practice Address - Fax:805-556-0447
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic