Individual
MRS. KATHRYN LEE SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1159 SECRET PL, GREENBANK, WA 98253-9782
(765) 635-5861
Mailing address
1159 SECRET PL, GREENBANK, WA 98253-9782
(765) 635-5861
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86075534
—
174N00000X
Lactation Consultant (Non-RN)
L-306122
—
Other
Enumeration date
09/28/2019
Last updated
07/30/2024
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