Individual
KATHLEEN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LDN
Contact information
Practice address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 368-4143
(814) 368-7729
Mailing address
76 HARDING AVE, BRADFORD, PA 16701-1947
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003439
PA
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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