Provider Demographics
NPI:1801176425
Name:ARNOLD, KATHLEEN J (BS NUTRITION)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:J
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:BS NUTRITION
Other - Prefix:MRS
Other - First Name:KATHLEEN
Other - Middle Name:S
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BS NUTRITION
Mailing Address - Street 1:12 WRIGHT PL
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-1518
Mailing Address - Country:US
Mailing Address - Phone:413-532-4227
Mailing Address - Fax:
Practice Address - Street 1:12 WRIGHT PL
Practice Address - Street 2:
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-1518
Practice Address - Country:US
Practice Address - Phone:413-532-4227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist