Provider Demographics
NPI:1245809888
Name:DUNN, PATTI K (KATI) (RD, LDN)
Entity type:Individual
Prefix:
First Name:PATTI
Middle Name:K (KATI)
Last Name:DUNN
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 HIDDEN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37663-3401
Mailing Address - Country:US
Mailing Address - Phone:423-571-0358
Mailing Address - Fax:
Practice Address - Street 1:327 HIDDEN VALLEY RD
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37663-3401
Practice Address - Country:US
Practice Address - Phone:423-571-0358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-18
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2416133V00000X
TN1060640133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered