Individual
MISS KYLENE BOGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD, CSSD, LD
Contact information
Practice address
1247 W 75TH ST, CLEVELAND, OH 44102-2986
(216) 445-6900
Mailing address
1247 W 75TH ST, CLEVELAND, OH 44102-2986
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6595
OH
Other
Enumeration date
05/01/2012
Last updated
10/19/2015
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