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Organization
KATE CONKLIN, REGISTERED DIETITIAN, LLC
Active
Organization
KATE CONKLIN, REGISTERED DIETITIAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE CONKLIN MS, RDN, LDN (REGISTERED DIETITIAN)
(860) 833-7162
Entity
Organization
Contact information
Practice address
321 1ST ST, BLAKELY, PA 18447-1205
(860) 833-7162
Mailing address
321 1ST ST, BLAKELY, PA 18447-1205
(860) 833-7162
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN007174
PENNSYLVANIA BOARD OF NURSING
PA
Enumeration date
03/04/2021
Last updated
03/04/2021
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