Individual
KATHLEEN T. SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4742
(727) 767-3588
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N0244
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/11/2007
Last updated
03/28/2008
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