IndividualActive
Katherine Boss, RD, CSP
NPI 1639842545 · Pediatric Nutrition Registered Dietitian · Grand Rapids, MI
Provider details
- NPI number
- 1639842545
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CSP
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
25 Michigan St Ne Ste 4200
Grand Rapids, MI 49503-2559
Phone: (616) 267-9150
Approximate (ZIP-level) locationGet directions
Mailing address
100 Michigan St Ne # Mc845
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2021-07-27
- Last updated
- 2023-07-31
- Certified
- 2023-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.