Individual
GENA M VANKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
345 W WASHINGTON AVE, MADISON, WI 53703-2996
(608) 417-8300
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1839
WI
Other
Enumeration date
06/14/2005
Last updated
10/23/2014
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