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Individual
KEVIN SCOTT GRODNITZKY
Active
Individual
KEVIN SCOTT GRODNITZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., R.D., L.D.N.
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
DX2677
MD
133V00000X
Registered Dietitian
Primary
DX2677
MD
Other
Enumeration date
03/23/2007
Last updated
11/27/2007
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