Individual
THERESA KINSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
280 MADISON AVE, SUITE 1004, NEW YORK, NY 10016
(646) 351-9148
Mailing address
1110 BOUCHER AVE, ANNAPOLIS, MD 21403-2306
(646) 351-9148
(646) 666-4405
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
005797-1
NY
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/08/2010
Last updated
12/08/2015
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