Individual
KAITLYN NIEBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 3RD AVE W, DURAND, WI 54736-1600
(715) 672-4211
Mailing address
N499 COUNTY ROAD D, EAU GALLE, WI 54737-9507
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86087217
WI
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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