Individual
MS. KATHLEEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-5933
Mailing address
187 CARMEN AVE, HAMILTON, OH 45013-4614
(513) 403-4107
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.09828
OH
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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