Individual
KENNETH GERARDO ECHEVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RDN, LD
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1479
WV
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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