Kathy M Petosky, RD
NPI #1174890610 in East Moline, Illinois
Provider Information
- NPI Number
- 1174890610
- Entity Type
- Individual
- Name
- Kathy M Petosky, RD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- RD
- Enumeration Date
- Nov 29, 2011
- Last Updated
- Nov 29, 2011
Practice Location
- Address
- 4721 8TH ST
- Address 2
- APT. 11211
- City
- East Moline
- State
- Illinois
- ZIP Code
- 61244-5111
- Phone
- (309) 792-4553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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