Individual
MRS. KATE MARIE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD ,LD, RDN
Contact information
Practice address
659 SEROTINA CT, MT PLEASANT, SC 29464-5171
(843) 642-6727
Mailing address
659 SEROTINA CT, MT PLEASANT, SC 29464-5171
(843) 642-6727
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
180
SC
Other
Enumeration date
01/31/2020
Last updated
03/05/2020
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