Individual
KATHLEEN ANN MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSRDCD
Contact information
Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-1550
Mailing address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-1550
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000976
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI00000976
DIETITIAN LICENSE
WA
Enumeration date
05/02/2007
Last updated
03/31/2016
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