Individual
KATHERINE ALYSE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSO, LD
Contact information
Practice address
460 W 10TH AVE, 5TH FLOOR, COLUMBUS, OH 43210-1240
(614) 366-2127
Mailing address
460 W 10TH AVE, 5TH FLOOR, COLUMBUS, OH 43210-1240
(614) 366-2127
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD 7959
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
985933
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
06/29/2016
Last updated
06/29/2016
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