Individual
KATHRYN DEBORAH WHETSTONE-KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5510 W PINTA CT, COEUR D ALENE, ID 83815-8340
(562) 743-2780
Mailing address
5510 W PINTA CT, COEUR D ALENE, ID 83815-8340
(562) 743-2780
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86035808
ID
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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