Individual
MS. KATHLEEN RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,R.D., C.D.E.
Contact information
Practice address
3022 WILLIAMS DR, SUITE 300, FAIRFAX, VA 22031-4600
(703) 573-9800
(703) 573-2959
Mailing address
6824 WILD ROSE CT, SPRINGFIELD, VA 22152-3124
(703) 866-7864
(703) 866-1382
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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