Provider Demographics
NPI:1992457949
Name:CATALYST NUTRITION LLC
Entity type:Organization
Organization Name:CATALYST NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:KADING
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN, LD, CLC
Authorized Official - Phone:720-712-0227
Mailing Address - Street 1:PO BOX 223
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-0223
Mailing Address - Country:US
Mailing Address - Phone:720-712-0227
Mailing Address - Fax:
Practice Address - Street 1:11863 SPRINGS RD STE 252
Practice Address - Street 2:
Practice Address - City:CONIFER
Practice Address - State:CO
Practice Address - Zip Code:80433-7259
Practice Address - Country:US
Practice Address - Phone:720-712-0227
Practice Address - Fax:877-439-9981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty