Provider Demographics
NPI:1093513558
Name:PALMMAN, KATARINA (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:KATARINA
Middle Name:
Last Name:PALMMAN
Suffix:
Gender:
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 RIVER HAVEN CIR APT S
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-4125
Mailing Address - Country:US
Mailing Address - Phone:234-380-7924
Mailing Address - Fax:
Practice Address - Street 1:1016 RIVER HAVEN CIR APT S
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-4125
Practice Address - Country:US
Practice Address - Phone:234-380-7924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLRD.3068.RD133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered