Individual
CASEY HARP KIRLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6305 OLD WESTHAM DR S, SUFFOLK, VA 23435-3003
(757) 615-4095
Mailing address
6305 OLD WESTHAM DR S, SUFFOLK, VA 23435-3003
(757) 615-4095
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00943892
VA
Other
Enumeration date
12/17/2007
Last updated
05/20/2015
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