Individual
KATYA WOLF LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1114 FARRIS DR, KNOXVILLE, TN 37912-5442
(484) 716-0973
Mailing address
1114 FARRIS DR, KNOXVILLE, TN 37912-5442
(484) 716-0973
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000004185
TN
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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