Individual
MRS. KATHY WARD WARWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/CDE
Contact information
Practice address
118 INGLESIDE RD, MADISON, MS 39110-9729
(601) 856-0005
(601) 856-2320
Mailing address
118 INGLESIDE RD, MADISON, MS 39110-9729
(601) 856-0005
(601) 856-2320
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D157
MS
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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