Individual
MRS. KATHLEEN G UPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LMNT
Contact information
Practice address
339 N 35TH AVE, OMAHA, NE 68131-2407
(402) 991-3130
Mailing address
339 N 35TH AVE, OMAHA, NE 68131-2407
(402) 991-3130
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
697
NE
Other
Enumeration date
08/07/2006
Last updated
01/12/2012
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