Individual
KATHRYN BURKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S. PALISADE DR., SUITE 200, BUELLTON, CA 93427
(805) 739-3900
Mailing address
1414 E MAIN ST STE 201, SANTA MARIA, CA 93454-4890
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
813449
AZ
133V00000X
Registered Dietitian
Primary
813449
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
813449
DIETICIAN LICENSE
AZ
Enumeration date
06/28/2006
Last updated
06/29/2021
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