Individual
MS. KAYLA DEANNE OTTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
400 N KEENE ST, 118, COLUMBIA, MO 65201-6626
(573) 884-2134
Mailing address
400 N KEENE ST, 118, COLUMBIA, MO 65201-6626
(573) 884-2134
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2008032830
MO
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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