Individual
KATELYN JILL GWALTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 310-8364
Mailing address
13998 TERN LN, CLEARWATER, FL 33762-4554
(586) 582-2855
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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