Provider Demographics
NPI:1831272780
Name:CHYNOWETH, MICHELE (RD, CDE)
Entity type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:
Last Name:CHYNOWETH
Suffix:
Gender:F
Credentials:RD, CDE
Other - Prefix:MS
Other - First Name:MICHELE
Other - Middle Name:
Other - Last Name:CABRAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, CDE
Mailing Address - Street 1:PO BOX 60182
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93386-0182
Mailing Address - Country:US
Mailing Address - Phone:661-872-1295
Mailing Address - Fax:877-500-6858
Practice Address - Street 1:9508 STOCKDALE HWY STE 120
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3623
Practice Address - Country:US
Practice Address - Phone:661-872-1295
Practice Address - Fax:877-500-6858
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ32178ZMedicare ID - Type Unspecified