Individual
KELLY MARIE DIEFFENBAUGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 GUTHRIE DR, CORNING, NY 14830-3696
(607) 937-7200
Mailing address
1 GUTHRIE DR, CORNING, NY 14830-3696
(607) 937-7200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86086792
NY
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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