Provider Demographics
NPI:1669344701
Name:ONATE, KATHLEEN ABBIGALE (RD, LD, CSO)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:ABBIGALE
Last Name:ONATE
Suffix:
Gender:F
Credentials:RD, LD, CSO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1646 AMBER DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-4284
Mailing Address - Country:US
Mailing Address - Phone:706-601-3446
Mailing Address - Fax:
Practice Address - Street 1:1646 AMBER DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-4284
Practice Address - Country:US
Practice Address - Phone:706-601-3446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD005551133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered