Individual
KATHRYN S SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1920 HARRY WURZBACH RD BLDG 1620, SAN ANTONIO, TX 78209-6025
(937) 776-4418
Mailing address
125 CROSSPOINT APT 4104, BOERNE, TX 78006-3110
(937) 776-4418
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86007969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
09/09/2019
Last updated
09/09/2019
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