Individual
KATHRYN LAINE BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
40 DUKE MEDICINE CIRCLE, ROOM 015, PURPLE ZONE, RALEIGH, NC 27710
(919) 681-6016
Mailing address
3833 FLOWERFIELD RD, CHARLOTTE, NC 28210-6227
(704) 778-2674
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L006964
NC
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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