Provider Demographics
NPI:1386371136
Name:DORKO, EMILY (RDN)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:DORKO
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8098 MOUNT KATAKA ST
Mailing Address - Street 2:
Mailing Address - City:ROXBOROUGH
Mailing Address - State:CO
Mailing Address - Zip Code:80125-9159
Mailing Address - Country:US
Mailing Address - Phone:937-474-9270
Mailing Address - Fax:855-615-2829
Practice Address - Street 1:3051 W 39TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-2023
Practice Address - Country:US
Practice Address - Phone:937-474-9270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered