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Individual

MS. KATHLEEN S. PAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
3244 RIDGEWOOD RD., ALLENWOOD, NJ 08720
(732) 829-2074
(732) 974-7427
Mailing address
P.O. BOX 266, ALLENWOOD, NJ 08720
(732) 829-2074
(732) 974-7427

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00477442

Other

Enumeration date
09/12/2012
Last updated
09/12/2012
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