Individual
KATE CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
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
DN007174
PA
174H00000X
Health Educator
—
—
Other
Enumeration date
01/30/2019
Last updated
12/05/2020
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