Individual
KAITLYN NICOLE STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, MPPD
Contact information
Practice address
918 BRANDON QUAY, CHESAPEAKE, VA 23320-8543
(304) 276-6024
Mailing address
918 BRANDON QUAY, CHESAPEAKE, VA 23320-8543
(304) 276-6024
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86157028
WV
Other
Enumeration date
02/25/2021
Last updated
02/18/2023
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