Individual
KATHLEEN MARY BUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CDN
Contact information
Practice address
300 HALTON RD, SYRACUSE, NY 13224-2228
(315) 380-7545
Mailing address
300 HALTON RD, SYRACUSE, NY 13224-2228
(315) 380-7545
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
48008881
NY
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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