Kenneth Ryan Heffernan R.D.

NPI 1750516217 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1750516217
Gender Male
Enumeration Date 05/27/2009
Last Updated 05/27/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1945 SHERINGTON PL
APT G313
NEWPORT BEACH CA, 92663-6043, US
Phone (714) 916-7136
Fax
Business Location
1945 SHERINGTON PL
APT G313
NEWPORT BEACH CA, 92663-6043, US
Phone (714) 916-7136
Fax
Toxanomy
Taxonomy Code 133V00000X
License State
License Number
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According to our database, Kenneth Ryan Heffernan R.D. NPI is 1750516217, taxonomy code is 133V00000X Kenneth Ryan Heffernan R.D. physically located at 1945 Sherington Pl, Newport Beach CA, 92663-6043. NPI Number Kenneth Ryan Heffernan R.D. has the Individual type.

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1750516217 NPI number is provided on an as is basis without warranty of any kind. 1750516217 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Ryan Heffernan R.D. are for informational purposes only.