Individual
KATHERINE GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(260) 433-4890
Mailing address
600 EAST BLVD, ELKHART, IN 46514-2499
(574) 389-4827
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86001709
IN
Other
Enumeration date
07/23/2014
Last updated
09/08/2022
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