Individual
KATHLEEN PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 LAKE DR SE, GRAND RAPIDS, MI 49546-8292
(616) 267-8950
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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