Individual
KATHY M BOOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN DIETITION
Contact information
Practice address
701 FAIRVIEW BLVD, RED WING, MN 55066-2848
(651) 267-5000
Mailing address
2505 HALLQUIST AVE, RED WING, MN 55066-4109
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1933
MN
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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