Kathryn A. Redle RD, CDE

NPI 1164519872 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1164519872
Gender Female
Enumeration Date 10/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1898 FORT RD
VA MEDICAL CENTER (120)
SHERIDAN WY, 82801-8320, US
Phone (307) 672-3473
Fax
Business Location
115 RED FOX DR
SHERIDAN WY, 82801-8647, US
Phone (307) 674-4642
Fax
Toxanomy
Taxonomy Code 133V00000X
License State
License Number 459818
Remove 1164519872 NPI Number
 

According to our database, Mrs. Kathryn A. Redle RD, CDE NPI is 1164519872, taxonomy code is 133V00000X and license number is 459818, license state is located at . Kathryn A. Redle RD, CDE physically located at 1898 Fort Rd, Sheridan WY, 82801-8320. NPI Number Kathryn A. Redle RD, CDE has the Individual type.

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1164519872 NPI number is provided on an as is basis without warranty of any kind. 1164519872 is maintained by the National Plan & Provider Enumeration System. The contents of Kathryn A. Redle RD, CDE are for informational purposes only.