Individual
KAITLIN GRACE DORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.N.
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-7204
Mailing address
501 6TH AVENUE SOUTH, ST. PETERSBURG, FL 33710
(727) 767-7204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 7527
FL
Other
Enumeration date
04/11/2016
Last updated
08/04/2017
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