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Individual

MISS ELIZABETH A KUEHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DTR

Contact information

Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
406 ESTAUGH AVE, HADDONFIELD, NJ 08033-2540
(856) 429-3355

Taxonomy

Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
707662

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
707662
DTR REGISTRATION NUMBER
Enumeration date
08/11/2006
Last updated
07/08/2007
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