Individual
KATHLEEN A MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-2164
Mailing address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-2164
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2005038490
MO
Other
Enumeration date
09/20/2006
Last updated
11/12/2019
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