Individual
KATHLEEN A OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 MONROE ST, PELLA, IA 50219-1189
(641) 628-3832
(641) 621-2335
Mailing address
405 MONROE ST, PELLA, IA 50219-1189
(641) 628-3832
(641) 621-2335
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01404
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01404
STATE LICENSE
IA
Enumeration date
07/02/2013
Last updated
07/02/2013
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