Individual
KATHRYN M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
3172 MORGANFORD RD APT 208, SAINT LOUIS, MO 63116-1965
(317) 489-2263
Mailing address
3172 MORGANFORD RD APT 208, SAINT LOUIS, MO 63116-1965
(317) 489-2263
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/14/2021
Last updated
03/09/2021
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