Individual
KATHERINE KELLY STREETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
90 KINIRY DR, ROCHESTER, NY 14609-3062
(585) 683-3361
Mailing address
PO BOX 92207, ROCHESTER, NY 14692-0207
(585) 683-3361
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
896473
—
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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