Individual
KATHLEEN SUE DETAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
55 W WATERLOO RD, AKRON, OH 44319-1116
(330) 724-7715
(330) 724-1080
Mailing address
56 TOWNSHIP ROAD 900, WEST SALEM, OH 44287-8729
(419) 869-7527
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5709
OH
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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