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Individual
KATHRYN NOEL MISENHEIMER
Active
Individual
KATHRYN NOEL MISENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CDCES
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX4420
MD
133V00000X
Registered Dietitian
L004643
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261745725
AETNA
NC
Enumeration date
05/26/2016
Last updated
12/26/2024
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