Individual
KAY THEOBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
445 E GRANVILLE RD, BLDG N, WORTHINGTON, OH 43085-3192
(614) 293-9550
(614) 293-9548
Mailing address
445 E GRANVILLE RD, BLDG N, WORTHINGTON, OH 43085-3192
(614) 293-9550
(614) 293-9548
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD1684
OH
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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