Basic Information
Provider Information
NPI: 1922374065
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KASHDAN
FirstName: APRIL
MiddleName: PAIGE
NamePrefix:  
NameSuffix:  
Credential: RD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 13650 E MISSISSIPPI AVE
Address2: SUITE 100B
City: AURORA
State: CO
PostalCode: 800123573
CountryCode: US
TelephoneNumber: 3036951338
FaxNumber: 7202483340
Practice Location
Address1: 13650 E MISSISSIPPI AVE
Address2: SUITE 100B
City: AURORA
State: CO
PostalCode: 800123573
CountryCode: US
TelephoneNumber: 3036951338
FaxNumber: 7202483340
Other Information
ProviderEnumerationDate: 03/22/2012
LastUpdateDate: 03/22/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
133V00000X870932COY Dietary & Nutritional Service ProvidersDietitian, Registered 

No ID Information.


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