Individual
MRS. KAITLYN A FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
1571 COVINGTON AVE # 3B, PIQUA, OH 45356-2830
(937) 451-3771
Mailing address
407 JACKSON ST, WAPAKONETA, OH 45895-1417
(419) 796-7536
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.8072
OH
Other
Enumeration date
09/25/2018
Last updated
02/16/2021
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