Individual
KASEY LEE WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903-2824
(336) 416-1501
Mailing address
253 TODD LN, MADISON HEIGHTS, VA 24572-5987
(336) 416-1501
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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