Provider Demographics
NPI:1386114601
Name:BURZYNSKI, KATHLEEN (RD, CDE, MS, CNSC)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:
Last Name:BURZYNSKI
Suffix:
Gender:F
Credentials:RD, CDE, MS, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 OAK HILL RD
Mailing Address - Street 2:
Mailing Address - City:WEARE
Mailing Address - State:NH
Mailing Address - Zip Code:03281
Mailing Address - Country:US
Mailing Address - Phone:603-520-4425
Mailing Address - Fax:
Practice Address - Street 1:35 OAK HILL RD
Practice Address - Street 2:
Practice Address - City:WEARE
Practice Address - State:NH
Practice Address - Zip Code:03281
Practice Address - Country:US
Practice Address - Phone:603-520-4425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH241133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered