Individual
MARY KATHRYN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
70 S WINOOSKI AVE STE 2C, BURLINGTON, VT 05401-3969
(802) 861-1200
Mailing address
90 FOSTER FARM RD, STOWE, VT 05672-5073
(706) 338-7948
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
074.0134384
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234567
—
VT
Enumeration date
01/23/2023
Last updated
01/23/2023
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