Individual
JENNIFER KLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
32 WESTGATE RD, KENMORE, NY 14217-2318
(716) 553-4418
Mailing address
32 WESTGATE RD, KENMORE, NY 14217-2318
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1004275
NY
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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