Individual provider · Type 1 NPI

Kathleen Gersek Bodkin, RD, LD/N, CDE

Registered Dietitian · Jacksonville Beach, FL

NPI number 1659463123 Active

Practice location

1350 13th Ave S
Jacksonville Beach, FL 32250-3203

Call (904) 627-2900 Map

Fax (904) 376-4925

Mailing address

3972 Petite Dr W
Jacksonville, FL 32250-2206

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XND498 (FL)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1659463123

Kathleen Gersek Bodkin, RD, LD/N, CDE's National Provider Identifier is 1659463123, issued on Sep 29, 2006. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Jacksonville Beach, FL. The record was last updated on Jul 8, 2007.