Individual
KIRSTEN LEAH MCEVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
100 SOUTH ST, SOUTHBRIDGE, MA 01550-4051
(508) 765-2294
Mailing address
51 CHARLTON ST, OXFORD, MA 01540-2139
(508) 731-0415
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2833
MA
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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