Individual
KATHLEEN A GOLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5709 ANCHORAGE AVE, MADISON, WI 53705-4401
(608) 233-8264
Mailing address
5709 ANCHORAGE AVE, MADISON, WI 53705-4401
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
769
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
769-029
CERTIFIED DIETITIAN
—
Enumeration date
01/19/2010
Last updated
12/01/2021
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