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Individual

ELIZABETH DETRICK KIRKPATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
612 PASTEUR DR, SUITE 108, GREENSBORO, NC 27403-1149
(336) 337-7484
Mailing address
2400 BEACONWOOD DR, GREENSBORO, NC 27455-1170
(336) 337-7484

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002735
NC

Other

Enumeration date
10/25/2007
Last updated
10/25/2007
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