Individual
KATHERINE C MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-4628
Mailing address
919 E UNIVERSITY ST, BLOOMINGTON, IN 47401-5039
(812) 331-0413
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R358678
IN
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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