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Individual
MS. KATHY L ANDERSON
Active
Individual
MS. KATHY L ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D. MS, CDN, MBA
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
719830
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001798
CD/N CERTIFIED DIETITIAN NUTRITIONIST UNIVERSITY OF THE STATE OF NEW YORK
NY
Enumeration date
07/18/2013
Last updated
05/04/2015
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