Kennette Marie Carlson MBA, RD, CDN

NPI 1154349363 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1154349363
Gender Female
Enumeration Date 07/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3495 BAILEY AVE
MAIL CODE 528/120
BUFFALO NY, 14215-1129, US
Phone (716) 834-9200
Fax (716) 862-6374
Business Location
1186 NASH RD
NORTH TONAWANDA NY, 14120-2961, US
Phone (716) 834-9200
Fax (716) 862-6374
Toxanomy
Taxonomy Code 133V00000X
License State
License Number
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According to our database, Ms. Kennette Marie Carlson MBA, RD, CDN NPI is 1154349363, taxonomy code is 133V00000X Kennette Marie Carlson MBA, RD, CDN physically located at 3495 Bailey Ave, Buffalo NY, 14215-1129. NPI Number Kennette Marie Carlson MBA, RD, CDN has the Individual type.

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1154349363 NPI number is provided on an as is basis without warranty of any kind. 1154349363 is maintained by the National Plan & Provider Enumeration System. The contents of Kennette Marie Carlson MBA, RD, CDN are for informational purposes only.