Individual
KAELYN ALISE WITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-6373
Mailing address
11515 CRAIG CT APT 412, SAINT LOUIS, MO 63146-5296
(217) 899-0100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/26/2021
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