Individual
CASEY KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CPT
Contact information
Practice address
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-4603
(954) 202-0277
Mailing address
3617 HIGH RIDGE WAY APT 306, BOYNTON BEACH, FL 33426-8797
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86082340
FL
Other
Enumeration date
03/13/2019
Last updated
03/25/2019
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