Individual
KATELYNN MARIE HACKL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
5316 YACHT HAVEN GRANDE, BUILDING N SUITE 101, ST THOMAS, VI 00802
(340) 244-4470
Mailing address
8170 CROWN BAY MARINA, PMB 159, ST THOMAS, VI 00802
(920) 883-0559
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86174855
WI
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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