OrganizationActive
Kidney Nutrition Consult, LLC
NPI 1659956241 · Renal Nutrition Registered Dietitian · Quincy, MA
Provider details
- NPI number
- 1659956241
- Entity type
- Organization
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Haewook Han, Owner(617) 320-2804
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
285 Victory Rd
Quincy, MA 02171-3137
Phone: (617) 320-2804
Approximate (ZIP-level) locationGet directions
Mailing address
285 Victory Rd
Quincy, MA 02171-3137
Registry dates
- Enumerated
- 2021-03-15
- Last updated
- 2021-05-03
- Certified
- 2021-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.