Individual
KATHLEEN LOUISE KALLEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
6821 S HALSTED ST, CHICAGO, IL 60621-1833
(773) 651-3629
Mailing address
6821 S HALSTED ST, CHICAGO, IL 60621-1833
(773) 651-3629
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.005436
IL
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04-3828358
—
IL
Enumeration date
10/26/2017
Last updated
10/26/2017
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