Individual
KATHRYN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-0024
Mailing address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-0024
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2071-29
WI
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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