Individual
MRS. KATHLEEN MARIE VARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
4700 COTTON CREEK DRIVE, CHARLOTTE, NC 28226
(704) 341-7926
(704) 341-7926
Mailing address
4700 COTTON CREEK DRIVE, CHARLOTTE, NC 28226
(704) 341-7926
(704) 341-7926
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
507570
—
133V00000X
Registered Dietitian
L001589
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141P1
BC BS PROVIDER NUMBER
—
Enumeration date
07/11/2008
Last updated
07/11/2008
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