Provider Demographics
NPI:1730787318
Name:RESCIGNO, KEVIN (RD)
Entity type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:
Last Name:RESCIGNO
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 ALEXANDRA WAY
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-1152
Mailing Address - Country:US
Mailing Address - Phone:609-846-6515
Mailing Address - Fax:
Practice Address - Street 1:71 ALEXANDRA WAY
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1152
Practice Address - Country:US
Practice Address - Phone:609-846-6515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered