Individual
KATHLEEN K. GATTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 237-9331
(574) 239-9383
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 237-9331
(574) 239-9383
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000849A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37000849A
DIETITIAN
IN
01
—
531017
DIETETIC REGISTRATION
IN
Enumeration date
07/14/2006
Last updated
01/15/2008
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