Individual
KATELYN JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
25 N NEW JERSEY ST APT 203, INDIANAPOLIS, IN 46204-2882
(419) 442-1994
Mailing address
25 N NEW JERSEY ST APT 203, INDIANAPOLIS, IN 46204-2882
(419) 442-1994
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86118299
IN
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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