K.Shan Performance LLC.

Registered Dietitian · Bethlehem, PA

Organization Active NPI

NPI number 1023637642

Practice location

1130 W Broad St Ste 101
Bethlehem, PA 18018-4926
Phone
(484) 554-9638

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NPI record

NPI
1023637642
Entity type
Organization (Type 2)
Enumeration date
April 14, 2020
Last updated
April 14, 2020
Certified
April 14, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X — —
Metabolic Nutrition Registered Dietitian 133VN1006X — —
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X — —
Sports Dietetics Nutrition Registered Dietitian 133VN1501X — —

Authorized official

Name
Kyle Shannon
Title
Managing Member/Owner
Phone
(484) 894-2631

Other names

  • KSP Fitness

About K.Shan Performance LLC.

K.Shan Performance LLC. is a healthcare organization registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 1130 W Broad St Ste 101, Bethlehem, PA 18018-4926. The NPI number 1023637642 was assigned on April 14, 2020 and the record was last updated on April 14, 2020.

The authorized official for this organization is Kyle Shannon, Managing Member/Owner.

Frequently asked questions

What is the NPI number of K.Shan Performance LLC.?

The NPI number is 1023637642.

What is the phone number of K.Shan Performance LLC.?

The phone number listed for the practice location is (484) 554-9638.

Where is K.Shan Performance LLC. located?

1130 W Broad St Ste 101, Bethlehem, PA 18018-4926.

What is the taxonomy code for K.Shan Performance LLC.?

The primary taxonomy code is 133V00000X – Registered Dietitian; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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