Individual
KIRSTEN ISABELLE GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 IVY RIDGE RD APT 33, SYRACUSE, NY 13210-4119
(603) 686-3434
Mailing address
802 IVY RIDGE RD APT 33, SYRACUSE, NY 13210-4119
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86420335
NY
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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