Provider Demographics
NPI:1801699525
Name:KALEIDOSCOPE NUTRITION LLC
Entity type:Organization
Organization Name:KALEIDOSCOPE NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:GHELEVA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RDN
Authorized Official - Phone:206-745-0336
Mailing Address - Street 1:8736 3RD AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-3109
Mailing Address - Country:US
Mailing Address - Phone:206-627-0336
Mailing Address - Fax:206-656-5556
Practice Address - Street 1:8736 3RD AVE NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-3109
Practice Address - Country:US
Practice Address - Phone:206-627-0336
Practice Address - Fax:206-656-5556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty