Provider Demographics
NPI:1861777013
Name:LINHART, KATHY RUTH (RLD, CDE)
Entity type:Individual
Prefix:MS
First Name:KATHY
Middle Name:RUTH
Last Name:LINHART
Suffix:
Gender:F
Credentials:RLD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9300 E 29TH ST N
Mailing Address - Street 2:SUITE #209
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-2182
Mailing Address - Country:US
Mailing Address - Phone:316-293-2633
Mailing Address - Fax:316-630-0373
Practice Address - Street 1:9300 E 29TH ST N
Practice Address - Street 2:SUITE #209
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-2182
Practice Address - Country:US
Practice Address - Phone:316-293-2633
Practice Address - Fax:316-630-0373
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS748133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered