Individual
MRS. EMILY KYBURZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CD
Contact information
Practice address
11141 PARKVIEW PLAZA DR, STE 305B, FORT WAYNE, IN 46845-1713
(260) 425-6770
(260) 425-6789
Mailing address
3926 NEW VISION DR, BLDG H, FORT WAYNE, IN 46845-1712
(266) 266-1401
(260) 458-5734
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002467A
IN
Other
Enumeration date
03/15/2017
Last updated
05/09/2017
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