Individual
KRISTEN CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1676 SUNSET AVE, UTICA, NY 13502-5416
(315) 624-5622
Mailing address
2215 GENESEE ST, UTICA, NY 13501-5930
(315) 801-8534
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86049285
NY
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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