Individual
MRS. KATY ANN MACQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
208 COLLYER ST FL 2, PROVIDENCE, RI 02904-1560
(401) 793-5826
Mailing address
208 COLLYER ST FL 2, PROVIDENCE, RI 02904-1560
(401) 793-5826
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00730
RI
133V00000X
Registered Dietitian
3335
MA
Other
Enumeration date
11/08/2013
Last updated
07/25/2022
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