Individual
KATHRYN BERNARD PETROSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
1225 WARM SPRINGS AVE, HUNTINGDON, PA 16652-2350
(814) 643-2290
Mailing address
1994 HIGHLAND DR, STATE COLLEGE, PA 16803-1305
(301) 651-0493
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004364
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102497058 0001
—
PA
Enumeration date
07/22/2010
Last updated
11/30/2011
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