Individual
KATIE KISSANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
33652 COUNTY ROAD 21, WINDSOR, CO 80550-3205
(303) 818-5363
Mailing address
33652 COUNTY ROAD 21, WINDSOR, CO 80550-3205
(303) 818-5363
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1075934
CO
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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