Individual
MRS. KELLY KATHRYN MCGUFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3903 FAIR RIDGE DR STE 209, FAIRFAX, VA 22033-2944
(703) 424-9676
Mailing address
24618 SALMON RIVER PL, ALDIE, VA 20105-5534
(540) 908-5538
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
859065
VA
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
10/04/2006
Last updated
05/05/2021
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