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Contact Information

GENESIS NUTRITION LLC
7717 IVY LANE
WELLINGTON, CO80549
 Phone: 307-746-8353
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for GENESIS NUTRITION LLC

NPI Number 1386304962
LBN Legal business name GENESIS NUTRITION LLC
Authorized official KAITLYN JOHNSON - (REGISTERED DIETITIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 12/23/2021
Last updated 12/23/2021 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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