Provider Demographics
NPI:1225186612
Name:KASER, SIDNEY WILTON (RD)
Entity type:Individual
Prefix:MRS
First Name:SIDNEY
Middle Name:WILTON
Last Name:KASER
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 1:848 YORK ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-3750
Mailing Address - Country:US
Mailing Address - Phone:303-399-7681
Mailing Address - Fax:
Practice Address - Street 1:848 YORK ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-3750
Practice Address - Country:US
Practice Address - Phone:303-399-7681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered