Individual
KATHRYN R LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1000 S 2ND ST, SUNBURY, PA 17801-3318
(570) 988-3004
Mailing address
329 PLEASANT DR, SELINSGROVE, PA 17870-9436
(814) 241-9659
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005068
PA
Other
Enumeration date
04/30/2008
Last updated
04/19/2013
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