Individual
MS. KATHARINE ELISE TEN PAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
100 AIRPORT RD, KINSTON, NC 28501-1604
(252) 522-7067
(252) 522-7289
Mailing address
100 AIRPORT RD, KINSTON, NC 28501-1604
(252) 522-7067
(252) 522-7289
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L000873
NC
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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