Individual
MARY KITTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
11201 BASSWOOD CT, CARMEL, IN 46032-6908
(219) 775-0709
Mailing address
11201 BASSWOOD CT, CARMEL, IN 46032-6908
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002398A
IN
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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