Individual
KAY JOSEPHSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
516 E. NIZHONI BLVD., BOX 1337, GALLUP, NM 87301-1337
(505) 722-1464
(505) 722-1496
Mailing address
516 E. NIZHONI BLVD., BOX 1337, GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1496
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06506
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04688261
—
NM
Enumeration date
08/12/2006
Last updated
04/22/2008
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