Provider Demographics
NPI:1740003797
Name:ARNOLD, CATHERINE GREENWELL (MS, RDN, LD, CPT)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:GREENWELL
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MS, RDN, LD, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3504 SORRENTO AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-2644
Mailing Address - Country:US
Mailing Address - Phone:502-387-2320
Mailing Address - Fax:
Practice Address - Street 1:3504 SORRENTO AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-2644
Practice Address - Country:US
Practice Address - Phone:502-387-2320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY124721133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered