Individual
MS. CASEY KETTERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2081 CENTER ST, BERKELEY, CA 94704-1204
(847) 275-4966
Mailing address
2081 CENTER ST, BERKELEY, CA 94704-1204
(847) 275-4966
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86068041
IL
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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