Individual
KACIE VAVREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CSSD, LD
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8036
Mailing address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8036
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6811
OH
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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