Individual
MCKENNA CHRISTY VOORHEES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6405 OLD MAIN HILL, LOGAN, UT 84322-0001
(801) 927-7688
Mailing address
6 USU AGGIE VILLAGE APT J, LOGAN, UT 84341
(801) 927-7688
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
86086820
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
876000528
EMPLOYER NUMBER
UT
Enumeration date
07/22/2019
Last updated
07/22/2019
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