Provider Demographics
NPI:1285956995
Name:KENT, KATHRINE BERDEBES (MS RD)
Entity type:Individual
Prefix:
First Name:KATHRINE
Middle Name:BERDEBES
Last Name:KENT
Suffix:
Gender:F
Credentials:MS RD
Other - Prefix:
Other - First Name:KATHRINE
Other - Middle Name:
Other - Last Name:BERDEBES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS RD
Mailing Address - Street 1:411 EDGAR RD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-4116
Mailing Address - Country:US
Mailing Address - Phone:908-456-5123
Mailing Address - Fax:
Practice Address - Street 1:230 SHERMAN AVE
Practice Address - Street 2:SUITE C
Practice Address - City:GLEN RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07028-1529
Practice Address - Country:US
Practice Address - Phone:908-456-5123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-22
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered