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Individual

KYLIE R FAUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
1225 WARM SPRINGS AVE, HUNTINGDON, PA 16652-2350
(814) 643-7054
Mailing address
1107 21ST AVE, ALTOONA, PA 16601-3004
(814) 643-7054

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007372
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86102711
COMMISSION ON DIETETIC REGISTRATION
01
DN007372
BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
Enumeration date
06/09/2021
Last updated
06/09/2021
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