Organization
LIVING WELL WITH KB LLC
Active
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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