Individual
KATHLEEN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CDN CDE
Contact information
Practice address
3365 PETER LN, YORKTOWN HEIGHTS, NY 10598-1923
(914) 962-3999
(914) 514-8954
Mailing address
3365 PETER LN, YORKTOWN HEIGHTS, NY 10598-1923
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000938-1
NY
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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