Individual
KRISTY KENWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
44 PORTLAND ST FL 4, WORCESTER, MA 01608-2023
(617) 249-3253
Mailing address
190 SUMMIT ST APT 15, AUBURN, CA 95603-4657
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN7750
MA
Other
Enumeration date
09/10/2024
Last updated
10/07/2024
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