Organization
KIDNEY NUTRITION CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY J CROTTS MS, RD, LDN (PRESIDENT)
(336) 817-8991
Entity
Organization
Contact information
Practice address
101 WILKESBORO ST STE A, MOCKSVILLE, NC 27028-2321
(336) 936-8169
(844) 440-1999
Mailing address
125 TOM CROTTS LN, MOCKSVILLE, NC 27028-5444
(336) 817-8991
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
02/16/2023
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