Individual
KATHERINE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
30 N GOULD ST STE R, SHERIDAN, WY 82801-6317
(631) 213-7190
(631) 967-1698
Mailing address
30 N GOULD ST STE R, SHERIDAN, WY 82801-6317
(631) 213-7190
(631) 967-1698
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009665
NY
Other
Enumeration date
10/13/2021
Last updated
10/21/2021
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