Individual
MS. KATHLEEN ANN WERTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
DEPARTMENT OF CLINICAL NUTRITION RM 747A LEVEL 1, STONY BROOK UNIVERSITY MEDICAL CENTER, STONY BROOK, NY 11794-7008
(631) 444-1442
(631) 632-2690
Mailing address
PO BOX 182, STONY BROOK, NY 11790-0182
(516) 317-2264
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000658-1
NY
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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