Individual
KATHLEEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3020 HAMAKER CT, B 106, FAIRFAX, VA 22031-2238
(703) 208-9944
Mailing address
4009 RIDGE RD, ANNANDALE, VA 22003-1836
(703) 256-7539
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D02386
MD
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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