Individual
MS. KATHLEEN M. HANUSCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1200 SOUTH CEDAR CREST BOULEVARD, SODEXO ADMINISTRATION OFFICE, ALLENTOWN, PA 18103-6202
(610) 402-7949
(610) 402-7460
Mailing address
1200 SOUTH CEDAR CREST BOULEVARD, SODEXO ADMINISTRATION OFFICE, ALLENTOWN, PA 18103-6202
(610) 402-7949
(610) 402-7460
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN001338
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KHANUSCHAK
—
PA
Enumeration date
09/23/2016
Last updated
09/23/2016
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