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Individual

KATHLEEN ANN CHAMPION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDLD

Contact information

Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-2740
(573) 302-2755
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-2740
(573) 302-2755

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2008025559
MO

Other

Enumeration date
12/05/2008
Last updated
12/05/2008
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