Individual
KATHLEEN SUE LILEGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 583-5033
Mailing address
10580 N MERIDIAN ST, INDIANAPOLIS, IN 46290-1028
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
10/29/2020
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