Individual
MS. JACQUELINE S KERSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
795 WILLOW RD, MENLO PARK, CA 94025-2539
(650) 493-5000
(650) 617-2635
Mailing address
216 ELLIOTT DR, MENLO PARK, CA 94025-2625
(650) 326-8523
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
605269
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605269
AMERICAN DIETETIC ASSOC
—
Enumeration date
09/15/2006
Last updated
07/08/2007
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