Individual
KATHRYN MUNDALL HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CD, CLC
Contact information
Practice address
28806 S 887 PR SE, KENNEWICK, WA 99338-1198
(509) 205-1018
Mailing address
28806 S 887 PR SE, KENNEWICK, WA 99338-1198
(509) 205-1018
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
917940
—
174N00000X
Lactation Consultant (Non-RN)
17067
—
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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