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Individual

KATHLEEN RENEE CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LD, CSP

Contact information

Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-2700
(314) 678-3064
Mailing address
12 SWEET MEADOWS LN, BALLWIN, MO 63011-3837
(317) 605-2658

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
986782
MO

Other

Enumeration date
09/14/2018
Last updated
09/14/2018
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