KC NUTRITION LLC NPI 1689181976

NPI Information

NPI: 1689181976
Provider Name: KC NUTRITION, LLC
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address: 1693 SW CHANDLER AVE STE 140
BEND, OR
ZIP 97702
Phone: (541) 279-3696

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NPI Details

KC NUTRITION, LLC is a dietitian registered in Bend, OR. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. KC NUTRITION, LLC NPI is 1689181976. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1693 SW CHANDLER AVE STE 140
BEND, OR
ZIP 97702-230
Phone: (541) 279-3696

The provider's authorized official is Kristina Coughlin .
The authorized official title is Owner and has the following contact phone number (541) 279-3696.

The enumeration date for this NPI number is 1/8/2018 and was last updated on 1/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133N00000X	Nutritionist		01013025	CALIFORNIA	No
2	133V00000X	Dietitian, Registered		LD-D-10177506	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1801333935	OTHER		DEPARTMENT HEALTH AND HUMAN SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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