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Individual
KELLY GUDENKAUF
Active
Individual
KELLY GUDENKAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
083269
IA
133V00000X
Registered Dietitian
Primary
1594
SC
Other
Enumeration date
07/13/2016
Last updated
03/09/2017
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