Individual
MADELINE KINZLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D.N.
Contact information
Practice address
N12 STONEHEDGE DR, SOUTH BURLINGTON, VT 05403-7383
(207) 475-6828
Mailing address
N12 STONEHEDGE DR, SOUTH BURLINGTON, VT 05403-7383
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
074.0116748
VT
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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