Individual
MS. KAITLYN MAE MCTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
224 CAMERON RD, ATHOL, NY 12810-1910
(518) 683-1172
Mailing address
224 CAMERON RD, ATHOL, NY 12810-1910
(518) 683-1172
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86050202
NY
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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