Provider Demographics
NPI:1780869404
Name:KAPAUN, TRUDY KAY (REGISTERED DIETICIAN)
Entity type:Individual
Prefix:MRS
First Name:TRUDY
Middle Name:KAY
Last Name:KAPAUN
Suffix:
Gender:F
Credentials:REGISTERED DIETICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:405 STAGELINE ROAD
Mailing Address - Street 2:HUDSON HOSPITAL
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016
Mailing Address - Country:US
Mailing Address - Phone:715-531-6000
Mailing Address - Fax:715-531-6011
Practice Address - Street 1:405 STAGELINE ROAD
Practice Address - Street 2:HUDSON HOSPITAL
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016
Practice Address - Country:US
Practice Address - Phone:715-531-6000
Practice Address - Fax:715-531-6011
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2689133V00000X
WI1937029133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered