Individual
MRS. KATHRYN KJORSTAD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3333 GLENDALE AVE, TOLEDO, OH 43614-2426
(419) 259-2000
(419) 259-2008
Mailing address
7121 CRABTREE LN, SYLVANIA, OH 43560-1107
(419) 885-2781
(419) 885-2781
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L 115
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD 115
BOARD OF DIETETICS LICENS
OH
Enumeration date
09/14/2006
Last updated
07/08/2007
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