Individual
KATHLEEN DIENST STOCKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
216 S KINGSHIGHWAY BLVD, MAILSTOP 90-32-612, SAINT LOUIS, MO 63110-1026
(314) 454-7152
Mailing address
216 S KINGSHIGHWAY BLVD, MAILSTOP 90-32-612, SAINT LOUIS, MO 63110-1026
(314) 454-7152
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2009025864
MO
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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