MRS. Patricia Logan Mckibben, RD, CD

NPI #1023235835 in Burlington, Vermont

Provider Information

NPI Number: 1023235835
Entity Type: Individual
Name: MRS. Patricia Logan Mckibben, RD, CD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD, CD
Enumeration Date: Apr 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 111 COLCHESTER AVE
City: Burlington
State: Vermont
ZIP Code: 05401-1473
Phone: (802) 847-3640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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