Organization
KG NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN GAFFNEY RD (REGISTERED DIETITIAN)
(908) 397-7335
Entity
Organization
Contact information
Practice address
48 MACON DR, HAMILTON, NJ 08619-1466
(908) 397-7335
Mailing address
48 MACON DR, HAMILTON, NJ 08619-1466
(908) 397-7335
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86065046
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
01/09/2023
Last updated
01/09/2023
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