Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kim L Petershack, CD

Individual provider Registered Dietitian · NPI 1346206323

Kim L Petershack, CD is a Registered Dietitian in Madison, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2006

Practice location Address checks out

1313 Fish Hatchery Rd
Madison, WI 53715-1911
Phone: (608) 252-8000
Fax: (608) 283-7192
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1313 Fish Hatchery Rd, Madison, WI 53715-1911 — (608) 252-8000

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 15-029 (WI)

Record details

NPI number1346206323
Entity typeIndividual (Type 1)
GenderFemale
Credentials CD
Sole proprietorNo
NPI enumeratedApril 26, 2006
Last updated in NPPESJanuary 23, 2018

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