Provider Demographics
NPI:1548499403
Name:WESTOVER, KATHY (MNT)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:WESTOVER
Suffix:
Gender:F
Credentials:MNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3609 KENYON DR
Mailing Address - Street 2:
Mailing Address - City:FT. COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524
Mailing Address - Country:US
Mailing Address - Phone:970-221-3152
Mailing Address - Fax:970-484-8178
Practice Address - Street 1:3609 KENYON DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-1693
Practice Address - Country:US
Practice Address - Phone:970-221-3152
Practice Address - Fax:970-484-8178
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist