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Individual

MRS. KATHERINE LISA BERNARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, LDN

Contact information

Practice address
137 E BUTLER ST, LEXINGTON, SC 29072-3566
(516) 380-9935
Mailing address
307 MAGNOLIA TREE RD, LEXINGTON, SC 29073-6731
(516) 380-9935

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
0026411
NY
133V00000X
Registered Dietitian
Primary
1315
SC

Other

Enumeration date
10/04/2010
Last updated
11/01/2023
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