Individual
KATHY LEE BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
12401 WILSHIRE BLVD, 304, LOS ANGELES, CA 90025-1085
(310) 741-4988
(310) 207-8126
Mailing address
12401 WILSHIRE BLVD, 304, LOS ANGELES, CA 90025-1085
(310) 741-4988
(310) 207-8126
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
726492
CA
Other
Enumeration date
09/24/2016
Last updated
09/24/2016
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