Individual
MRS. KATHLEEN P WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6502 WINDING LAKE DR, JUPITER, FL 33458-3788
(561) 575-2483
(561) 741-0650
Mailing address
6502 WINDING LAKE DR, JUPITER, FL 33458-3788
(561) 575-2483
(561) 741-0650
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 2320
FL
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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