Individual
MS. KAYLEN MCNAMARA JAMES JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D., C.D.E.
Contact information
Practice address
1415 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-3374
(952) 993-3742
Mailing address
8170 33RD AVENUE SOUTH, MAIL STOP 21110Q, MINNEAPOLIS, MN 55440
(952) 883-6212
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01021614
MN
Other
Enumeration date
02/01/2011
Last updated
06/27/2016
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