Individual
KATHLEEN A BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1200 HILYARD ST, SUITE 550, EUGENE, OR 97401-8122
(541) 686-7029
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
552
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236
—
OR
Enumeration date
07/07/2006
Last updated
07/05/2011
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