Individual
KATIE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MR, RD, CSSD, LDN
Contact information
Practice address
1903 FORESTVIEW DR, MAHOMET, IL 61853-9323
(217) 418-1547
Mailing address
1903 FORESTVIEW DR, MAHOMET, IL 61853-9323
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164004109
IL
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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