Individual
KENNEDY KROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1736 E OVERCREST ST, FAYETTEVILLE, AR 72703-3027
(469) 463-4908
Mailing address
1736 E OVERCREST ST, FAYETTEVILLE, AR 72703-3027
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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