Individual provider · Type 1 NPI

Katherine Jane Boss, RD, CSP

Pediatric Nutrition Registered Dietitian · Grand Rapids, MI

NPI number 1639842545 Active

Practice location

25 Michigan St NE Ste 4200
Grand Rapids, MI 49503-2559

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004XNone listed

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1639842545

Katherine Jane Boss, RD, CSP's National Provider Identifier is 1639842545, issued on Jul 27, 2021. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 31, 2023.