Provider Demographics
NPI:1881055796
Name:KLEMP, MELISSA (RD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:KLEMP
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 N NORMANDIE ST
Mailing Address - Street 2:APT A
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-3428
Mailing Address - Country:US
Mailing Address - Phone:559-410-7321
Mailing Address - Fax:
Practice Address - Street 1:1310 N NORMANDIE ST
Practice Address - Street 2:APT A
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-3428
Practice Address - Country:US
Practice Address - Phone:559-410-7321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-19
Last Update Date:2016-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered