IndividualActive
Kevin Mccormick, NUTRITIONIST
NPI 1700165255 · Nutrition Education Nutritionist · Phoenix, AZ
Provider details
- NPI number
- 1700165255
- Entity type
- Individual
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Credential
- NUTRITIONIST
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
2702 E Corrine Dr. Suite 1
Phoenix, AZ 85032
Phone: (602) 348-1004
Approximate (ZIP-level) locationGet directions
Mailing address
2702 E Corrine Dr
Phoenix, AZ 85032-6942
Registry dates
- Enumerated
- 2011-08-15
- Last updated
- 2011-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.