Individual
MARIANN KAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 W WASHINGTON ST, BRADFORD, PA 16701-1280
(814) 362-2062
Mailing address
24 W WASHINGTON ST, BRADFORD, PA 16701-1280
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN000972
PA
Other
Enumeration date
07/21/2005
Last updated
05/24/2021
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