Provider Demographics
NPI:1265709109
Name:MELDER, KATE M (LDN, RD, CDE)
Entity type:Individual
Prefix:MRS
First Name:KATE
Middle Name:M
Last Name:MELDER
Suffix:
Gender:F
Credentials:LDN, RD, CDE
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:BLUMBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LDN, RD, CDE
Mailing Address - Street 1:7566 PICARDY AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4333
Mailing Address - Country:US
Mailing Address - Phone:225-767-3115
Mailing Address - Fax:225-763-9335
Practice Address - Street 1:7566 PICARDY AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4333
Practice Address - Country:US
Practice Address - Phone:225-767-3115
Practice Address - Fax:225-763-9335
Is Sole Proprietor?:No
Enumeration Date:2011-11-21
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2017133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered