Provider Demographics
NPI:1932967700
Name:KAVE, HILARY (MS, RD, CSSD)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:
Last Name:KAVE
Suffix:
Gender:F
Credentials:MS, RD, CSSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6744 S DETROIT CIR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-1820
Mailing Address - Country:US
Mailing Address - Phone:309-781-8469
Mailing Address - Fax:
Practice Address - Street 1:6744 S DETROIT CIR
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-1820
Practice Address - Country:US
Practice Address - Phone:309-781-8469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO86057717133VN1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports Dietetics