Provider Demographics
NPI:1528835899
Name:VERRET, KAITLIN MARIE (RDN, LD)
Entity type:Individual
Prefix:
First Name:KAITLIN
Middle Name:MARIE
Last Name:VERRET
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:M
Other - Last Name:VERRET
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RDN, LD
Mailing Address - Street 1:1000 JOHNSON FERRY RD
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1606
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 JOHNSON FERRY RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1611
Practice Address - Country:US
Practice Address - Phone:404-851-6050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered