Individual
MS. MARY ANN KALONICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, L/DN
Contact information
Practice address
739 JACKSON ST W, MONMOUTH, OR 97361-1340
(352) 228-3050
Mailing address
739 JACKSON ST W APT 4, MONMOUTH, OR 97361-1340
(352) 228-3050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10232246
OR
Other
Enumeration date
08/09/2011
Last updated
07/01/2025
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