Individual
MRS. ANNA KINLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3147 S 17TH ST, WILMINGTON, NC 28412-1030
(910) 794-6110
Mailing address
3147 S 17TH ST, WILMINGTON, NC 28412-1030
(910) 794-6110
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002501
NC
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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