Individual
KATHLEEN BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 WAVERLEY RD, NORTH ANDOVER, MA 01845-4239
(978) 314-2730
Mailing address
417 WAVERLEY RD, NORTH ANDOVER, MA 01845-4239
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4127
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4127
DIETITIAN LICENSE
MA
Enumeration date
10/20/2016
Last updated
02/15/2017
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