Individual
MS. KATHRYN ELIZABETH MICUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
3601 5TH AVE STE 1B, PITTSBURGH, PA 15213-3403
(412) 647-0677
(412) 647-3036
Mailing address
3601 5TH AVE STE 1B, PITTSBURGH, PA 15213-3403
(412) 647-0677
(412) 647-3036
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004167
PA
133V00000X
Registered Dietitian
LD5755
OH
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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