Individual
KATHY ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSP
Contact information
Practice address
1977 SANDAL WAY, NEWBURGH, IN 47630-8983
(812) 490-6766
Mailing address
1977 SANDAL WAY, NEWBURGH, IN 47630-8983
(812) 490-6766
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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