K Shan Performance LLC
K Shan Performance LLC is a Registered Dietitian in Bethlehem, Pennsylvania. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 4
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1130 W Broad St Ste 101Bethlehem, PA 18018-4926
Phone: (484) 554-9638
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X |
|---|---|
| Metabolic Nutrition Registered Dietitian | Taxonomy 133VN1006X |
| Obesity and Weight Management Nutrition Registered Dietitian | Taxonomy 133VN1201X |
| Sports Dietetics Nutrition Registered Dietitian | Taxonomy 133VN1501X |
Record details
| NPI number | 1023637642 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kyle Shannon — Managing Member/Owner · (484) 894-2631 |
| Other names | Ksp Fitness |
| NPI enumerated | April 14, 2020 |
| Last updated in NPPES | April 14, 2020 |
| Certification date | April 14, 2020 |
| Mailing address | 1130 W Broad St Ste 101, Bethlehem, PA 18018-4926 |
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Brandy Hemerly
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Victoria Leigh Hinman, RDN, LD
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Mrs. Suzanne Carol Ickes, RD, LDN
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Mallory Knoll, RDN
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