Individual
KATHRYN D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
115 PORTER DRIVE, PORTER HOSPITAL, MIDDLEBURY, VT 05753
(802) 388-4775
(802) 388-8870
Mailing address
115 PORTER DRIVE, FINANCE DEPT, MIDDLEBURY, VT 05753
(802) 388-5607
(802) 388-5654
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0740000038
VT
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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