Individual
KATHLEEN WEIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD, CDE, LD
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7332
Mailing address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
09/20/2005
Last updated
07/08/2007
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