Individual
MRS. KENNEDI ROMENESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
123 S CLEAR LAKE AVE, MILTON, WI 53563-1107
(920) 931-5541
Mailing address
123 S CLEAR LAKE AVE, MILTON, WI 53563-1107
(920) 931-5541
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86253884
—
WI
Enumeration date
04/12/2021
Last updated
10/11/2023
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