Individual
KATHRYN THRUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 262-2312
Mailing address
1 HURLEY PLZ, FLINT, MI 48503-5902
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144256967
—
MI
Enumeration date
01/08/2018
Last updated
01/08/2018
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