Individual
KATHLEEN CARRELLI WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4808 LATIMER RD, RALEIGH, NC 27609-5363
(704) 780-3817
Mailing address
4808 LATIMER RD, RALEIGH, NC 27609-5363
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
02/14/2025
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