Individual
MRS. MAXINE K KEHRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.
Contact information
Practice address
1600 1ST ST E, INDEPENDENCE, IA 50644-3155
(319) 332-0930
Mailing address
1600 1ST ST E, INDEPENDENCE, IA 50644-3155
(319) 332-0930
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00167
IA
133V00000X
Registered Dietitian
469950 ADA NUMBER
—
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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