Individual
KATHERINE BEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
555 FOOTHILL DR, SALT LAKE CITY, UT 84112-1106
(801) 585-5382
Mailing address
PO BOX 510004, SALT LAKE CITY, UT 84151-0004
(801) 587-6600
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6023100-4901
UT
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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