Individual
MRS. KATHLEEN DICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.D.
Contact information
Practice address
22 SUE DR, GERMANTOWN, OH 45327-1624
(937) 855-7186
Mailing address
22 SUE DR, GERMANTOWN, OH 45327-1624
(937) 855-7186
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
2537
OH
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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