Individual
KATHRYN LYNN SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
933 E PIERCE ST, COUNCIL BLUFFS, IA 51503-4626
(712) 396-7212
Mailing address
2715 S 12TH ST, COUNCIL BLUFFS, IA 51501-7610
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00475
IA
133V00000X
Registered Dietitian
R510183
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00475
IOWA DIETETIC
IA
01
—
R510183
AMERICAN DIETETIC ASSOC.
IA
Enumeration date
03/14/2007
Last updated
07/08/2007
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