Organization
LIVING WELL WITH KB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATELYN SUZANNA BROCKMILLER RD (DIETITIAN)
(757) 869-0236
Entity
Organization
Contact information
Practice address
6831 GEORGE WASHINGTON MEM HWY, YORKTOWN, VA 23692-4805
(757) 869-0236
Mailing address
504 ALLEN HARRIS DR, YORKTOWN, VA 23692-4882
(757) 869-0236
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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